TAMARA A JACKSON - Registered Nurse License in Indiana | # 043081428

TAMARA A JACKSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081428

License Status

NOT RENEWED

Business

N

First Name

TAMARA

Middle

A

Last Name

JACKSON

Business Name

TAMARA A JACKSON

Original Issue Date

10/14/1997

Effective Date

01/24/2005

Expiration Date

01/31/2007

State

IN

Ever Disciplined

N

LastModifiedDate

03/16/2007