ANCY C JACOB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

ACTIVE

Business

First Name

ANCY

Middle

Last Name

JACOB

Business Name

ANCY C JACOB

Original Issue Date

08/07/2014

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026