PHYLLIS A JACOBS - Registered Nurse License in Illinois | # 041083661

PHYLLIS A JACOBS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041083661

License Status

INACTIVE

Business

N

First Name

PHYLLIS A

Last Name

JACOBS

Business Name

PHYLLIS A JACOBS

Original Issue Date

04/02/1956

Effective Date

04/02/1956

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006