ANNIE PAULINE JACKMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123444

License Status

NOT RENEWED

Business

First Name

ANNIE

Middle

PAULINE

Last Name

JACKMAN

Business Name

ANNIE PAULINE JACKMAN

Original Issue Date

12/01/2016

Effective Date

12/01/2016

Expiration Date

01/31/2019

City

SAINT FRANCISVILLE

State

Zip

62460

Ever Disciplined

LastModifiedDate

03/28/2019