JACOB D JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119933

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

JACKSON

Business Name

JACOB D JACKSON

Original Issue Date

11/07/2014

Effective Date

11/07/2014

Expiration Date

01/31/2017

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

03/27/2017