JACOB J BRISCOE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007627

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

BRISCOE

Business Name

JACOB J BRISCOE

Original Issue Date

06/11/2009

Effective Date

05/31/2018

Expiration Date

09/30/2020

City

DYERSBURG

State

Zip

38024

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021