LEELA JACOB - Registered Nurse License in Illinois | # 041197105

LEELA JACOB

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041197105

License Status

INACTIVE

Business

N

First Name

LEELA

Last Name

JACOB

Business Name

LEELA JACOB

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006