JACKIE STALEY FARLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041485681

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

STALEY

Last Name

FARLEY

Business Name

JACKIE STALEY FARLEY

Original Issue Date

09/18/2019

Effective Date

04/07/2020

Expiration Date

08/31/2022

City

COLONIAL HEIGHTS

State

Zip

23834

Ever Disciplined

LastModifiedDate

10/14/2022