PEGGY J JACOBS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

NOT RENEWED

Business

First Name

PEGGY J

Last Name

JACOBS

Business Name

PEGGY J JACOBS

Original Issue Date

03/06/2012

Effective Date

05/30/2022

Expiration Date

06/30/2024

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025