GRACY JACOB - Registered Nurse License in Illinois | # 041179925

GRACY JACOB

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179925

License Status

NOT RENEWED

Business

N

First Name

GRACY

Last Name

JACOB

Business Name

GRACY JACOB

Original Issue Date

05/08/1978

Effective Date

04/12/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012