JENNIFER M JACOBS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

JACOBS

Business Name

JENNIFER M JACOBS

Original Issue Date

12/20/2016

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2018