ALEXANDRA M JACOBY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

INACTIVE

Business

First Name

ALEXANDRA

Middle

Last Name

JACOBY

Business Name

ALEXANDRA M JACOBY

Original Issue Date

03/06/2019

Effective Date

06/02/2020

Expiration Date

05/31/2022

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2020