JACKIE BROCKMAN SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192578

License Status

NOT RENEWED

Business

First Name

JACKIE BROCKMAN

Last Name

SMITH

Business Name

JACKIE BROCKMAN SMITH

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1988

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006