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*****78

License Status

ACTIVE

Business

First Name

FERNANDA

Middle

Last Name

JACOBS

Business Name

FERNANDA N JACOBS

Original Issue Date

12/05/2023

Effective Date

03/24/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

County

BOONE

Ever Disciplined

LastModifiedDate

03/02/2026