LIDIYA M JACOB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021213

License Status

ACTIVE

Business

First Name

LIDIYA

Middle

Last Name

JACOB

Business Name

LIDIYA M JACOB

Original Issue Date

04/16/2020

Effective Date

03/14/2026

Expiration Date

05/31/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

03/14/2026