STAICY JACOB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006929

License Status

ACTIVE

Business

First Name

STAICY

Last Name

JACOB

Business Name

STAICY JACOB

Original Issue Date

01/02/2008

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

03/02/2026