License holder summary

IZETTA POLLY JACKSON is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for IZETTA POLLY JACKSON is LAFAYETTE IN 47904. This nurse license is not current. The license was granted 10/01/1983 and expired on 12/31/1984.

Indiana

State Board of Nursing

IZETTA POLLY JACKSON
Licensed Practical Nurse
License number
27023981A
Date granted
10/01/1983
Date expires
12/31/1984
Class
Licensed Practical Nurse
Status
Expired
Address
LAFAYETTE IN 47904
nursingindiana.org
ID 12150559
LAST UPDATED 2024-04-16 01:07:10 UTC

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