KEYDRA LAKEWISYE JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116820

License Status

NOT RENEWED

Business

First Name

KEYDRA

Middle

LAKEWISYE

Last Name

JACKSON

Business Name

KEYDRA LAKEWISYE JACKSON

Original Issue Date

04/30/2013

Effective Date

02/04/2019

Expiration Date

01/31/2021

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

03/11/2021