PREMA P JACOB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005523

License Status

ACTIVE

Business

First Name

PREMA

Middle

Last Name

JACOB

Business Name

PREMA P JACOB

Original Issue Date

04/21/2005

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

03/03/2026