MICHELLE VERONICA JACOB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011680

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

VERONICA

Last Name

JACOB

Business Name

MICHELLE VERONICA JACOB

Original Issue Date

07/31/2014

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/02/2026