License holder summary

LEAVATER JACKSON is a Nurse Registered & Licensed Practical - Lpn licensed to practice in Michigan. The address on file for LEAVATER JACKSON is Wyoming, MI 49509. This licensed professional license is not current. The license was granted 05/29/1979 and expired on 03/31/1987.

Michigan

Department of Licensing and Regulation

LEAVATER JACKSON
Nurse Registered & Licensed Practical - Lpn
License number
4703046780
Date granted
05/29/1979
Date expires
03/31/1987
Class
Nurse Registered & Licensed Practical - Lpn
Status
Lapsed
Address
Wyoming, MI 49509
michiganlicensing.org
ID 25814412
LAST UPDATED 2024-02-18 12:48:01 UTC

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