MINDY L JACOBS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

MINDY

Middle

Last Name

JACOBS

Business Name

MINDY L JACOBS

Original Issue Date

04/17/2007

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026