CAROLYN D JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077725

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

JACKSON

Business Name

CAROLYN D JACKSON

Original Issue Date

08/07/1995

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

FLORISSANT

State

Zip

63033

Ever Disciplined

LastModifiedDate

10/15/2005