KENNETH A JACOBS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041324025

License Status

INACTIVE

Business

First Name

KENNETH

Middle

Last Name

JACOBS

Business Name

KENNETH A JACOBS

Original Issue Date

04/06/2001

Effective Date

04/06/2001

Expiration Date

05/31/2004

City

MOORPARK

State

Zip

93021

Ever Disciplined

LastModifiedDate

10/09/2006