BETSY A JACOB Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INACTIVE

Business

First Name

BETSY

Middle

Last Name

JACOB

Business Name

BETSY A JACOB

Original Issue Date

08/11/2004

Effective Date

10/01/2020

Expiration Date

05/31/2022

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/01/2020