MARIA SHIELA A JACOBSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

NOT RENEWED

Business

First Name

MARIA SHIELA

Middle

Last Name

JACOBSON

Business Name

MARIA SHIELA A JACOBSON

Original Issue Date

09/13/2016

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60123

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021