JACOBA VANDERVAART - Registered Nurse License in Minnesota | # 041146320

JACOBA VANDERVAART

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146320

License Status

INACTIVE

Business

N

First Name

JACOBA

Last Name

VANDERVAART

Business Name

JACOBA VANDERVAART

Original Issue Date

11/02/1972

Effective Date

11/02/1972

Expiration Date

05/31/1996

State

MN

Ever Disciplined

N

LastModifiedDate

09/27/2006