MILDRED M JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021772

License Status

INACTIVE

Business

First Name

MILDRED M

Last Name

JACKSON

Business Name

MILDRED M JACKSON

Original Issue Date

12/22/1967

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005