FERNANDA N JACOBS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

FERNANDA

Middle

Last Name

JACOBS

Business Name

FERNANDA N JACOBS

Original Issue Date

12/10/2024

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/06/2026