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*****30

License Status

ACTIVE

Business

First Name

FERNANDA

Middle

Last Name

JACOBS

Business Name

FERNANDA N JACOBS

Original Issue Date

03/13/2024

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026