CHARLES EDWIN JACOBS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169944

License Status

NOT RENEWED

Business

First Name

CHARLES EDWIN

Last Name

JACOBS

Business Name

CHARLES EDWIN JACOBS

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/2008

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2008