JAMIE LEA JACOBS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

ACTIVE

Business

First Name

JAMIE

Middle

LEA

Last Name

JACOBS

Business Name

JAMIE LEA JACOBS

Original Issue Date

12/02/2019

Effective Date

04/06/2024

Expiration Date

05/31/2026

City

VANDALIA

State

Zip

62471

County

FAYETTE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026