SUSAN K JACOBS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131877

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

JACOBS

Business Name

SUSAN K JACOBS

Original Issue Date

08/28/1969

Effective Date

08/28/1969

Expiration Date

05/31/1988

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006