License holder summary

Jacqueline Susan Mattox is a Temporary Rn Permit licensed to practice in Indiana. The address on file for Jacqueline Susan Mattox is Indianapolis IN 46254. This nurse license is not current. The license was granted 10/06/2004 and expired on 01/06/2005.

Indiana

State Board of Nursing

Jacqueline Susan Mattox
Temporary Rn Permit
License number
99014467A
Date granted
10/06/2004
Date expires
01/06/2005
Class
Temporary Rn Permit
Status
Superceded
Address
Indianapolis IN 46254
nursingindiana.org
ID 8267967
LAST UPDATED 2024-04-14 21:10:48 UTC

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