GRACY JACOB Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179925

License Status

NOT RENEWED

Business

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

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012