TARA JACOBS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009971

License Status

NOT RENEWED

Business

First Name

TARA

Last Name

JACOBS

Business Name

TARA JACOBS

Original Issue Date

10/29/2012

Effective Date

10/29/2012

Expiration Date

05/31/2014

City

BEAR

State

Zip

19701

County

DELAWARE

Ever Disciplined

LastModifiedDate

07/03/2014