NameMONICA LATECE JACKSON
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.409253-MEDS Practical Nurse w/MEDS- Temporary Work Permit 10/29/2012 10/29/2012 04/29/2013 CLOSED
PN.151022-MEDS Licensed Practical Nurse - MEDS 10/31/2012 10/31/2012 08/31/2014 LAPSED Endorsement

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