SUSAN MARIE JACOBS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132112

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

JACOBS

Business Name

SUSAN MARIE JACOBS

Original Issue Date

08/26/1969

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/14/2021