AMANDA LEIGH BEN JACOB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026253

License Status

ACTIVE

Business

First Name

AMANDA

Middle

LEIGH

Last Name

BEN JACOB

Business Name

AMANDA LEIGH BEN JACOB

Original Issue Date

10/25/2022

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

03/05/2026