PHYLLIS A JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041288384

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

JACKSON

Business Name

PHYLLIS A JACKSON

Original Issue Date

05/04/1995

Effective Date

05/04/1995

Expiration Date

05/31/2002

City

HORSEHEADS

State

Zip

14845

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006