DIANA K JACOBS - Registered Nurse License in Indiana | # 043012859

DIANA K JACOBS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012859

License Status

NOT RENEWED

Business

N

First Name

DIANA K

Last Name

JACOBS

Business Name

DIANA K JACOBS

Original Issue Date

12/17/1964

State

IN

Ever Disciplined

N

LastModifiedDate

10/21/2005