ALEYAMMA JACOB - Registered Nurse License in Illinois | # 041192409

ALEYAMMA JACOB

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192409

License Status

NOT RENEWED

Business

N

First Name

ALEYAMMA

Last Name

JACOB

Business Name

ALEYAMMA JACOB

Original Issue Date

10/17/1979

Effective Date

03/29/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021