License holder summary

JACKIE DEAN WILLIS is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for JACKIE DEAN WILLIS is MOUNT VERNON IL 62864. This nurse license is not current. The license was granted 01/01/1971 and expired on 12/31/1977.

Indiana

State Board of Nursing

JACKIE DEAN WILLIS
Licensed Practical Nurse
License number
27010269A
Date granted
01/01/1971
Date expires
12/31/1977
Class
Licensed Practical Nurse
Status
Expired
Address
MOUNT VERNON IL 62864
nursingindiana.org
ID 12165543
LAST UPDATED 2026-08-03 12:39:54 UTC

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