SUZANNE M JACOBS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003105

License Status

NOT RENEWED

Business

First Name

SUZANNE M

Last Name

JACOBS

Business Name

SUZANNE M JACOBS

Original Issue Date

07/16/2001

Effective Date

03/18/2014

Expiration Date

05/31/2016

City

SAUK CITY

State

Zip

53583

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016