AGNES L JACOBS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041088460

License Status

NOT RENEWED

Business

First Name

AGNES L

Last Name

JACOBS

Business Name

AGNES L JACOBS

Original Issue Date

11/19/1957

Effective Date

11/19/1957

Expiration Date

05/31/2002

City

CRESTHILL

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

2002005904

Action

Suspension

Discipline Start Date

09/26/2003

Discipline Reason

Failed to file and/or pay Illinois income taxes.