MICHELLE JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030263

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

JACKSON

Business Name

MICHELLE JACKSON

Original Issue Date

03/03/1972

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

COLUMBIA

State

Zip

38401

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/15/2005