NameCLEANA MONICA JACKSON
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.407957-MEDS Practical Nurse w/MEDS- Temporary Work Permit 03/03/2006 03/03/2006 09/03/2006 EXPIRED Temporary Permit Expired
Licensed Practical Nurse Applicant - Endorsement Application Abandoned Endorsement
PN.127683-MEDS Licensed Practical Nurse - MEDS 09/14/2007 09/13/2007 08/31/2008 LAPSED Endorsement
License and Registration Information (cont.)
The application requirements below will only be displayed for submissions received after November 10, 2008.
CredentialBackground CheckCitizenship VerificationEducation VerificationForeign Nurse RequirementLicense VerificationCE Required (2 hours)
PN-ENDS

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