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
LAST UPDATED 2024-04-16 01:07:10 UTC
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