BETSY A JACOB Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005145

License Status

INACTIVE

Business

First Name

BETSY

Middle

Last Name

JACOB

Business Name

BETSY A JACOB

Original Issue Date

06/14/2004

Effective Date

09/30/2020

Expiration Date

05/31/2022

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/30/2020