DAISY JACOB - Registered Nurse License in Wisconsin | # 041349977

DAISY JACOB

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349977

License Status

INACTIVE

Business

N

First Name

DAISY

Last Name

JACOB

Business Name

DAISY JACOB

Original Issue Date

11/09/2005

Effective Date

04/17/2012

Expiration Date

05/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

03/06/2014