AMBILI M JACOB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030952

License Status

ACTIVE

Business

First Name

AMBILI

Middle

Last Name

JACOB

Business Name

AMBILI M JACOB

Original Issue Date

11/01/2024

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2026