MARY JACOB - Registered Nurse License in Illinois | # 041188339

MARY JACOB

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188339

License Status

NOT RENEWED

Business

N

First Name

MARY

Last Name

JACOB

Business Name

MARY JACOB

Original Issue Date

05/07/1979

Effective Date

04/16/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021