JACKIE S MARTIN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356700

License Status

ACTIVE

Business

First Name

JACKIE

Middle

Last Name

MARTIN

Business Name

JACKIE S MARTIN

Original Issue Date

10/18/2006

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

WEST TERRE HAUTE

State

Zip

47885

Ever Disciplined

LastModifiedDate

03/04/2026