TAMARA A JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081428

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

JACKSON

Business Name

TAMARA A JACKSON

Original Issue Date

10/14/1997

Effective Date

01/24/2005

Expiration Date

01/31/2007

City

MERRILLVILLE

State

Zip

46410

Ever Disciplined

LastModifiedDate

03/16/2007