PHYLLIS M JACOBS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041215405

License Status

NOT RENEWED

Business

First Name

PHYLLIS M

Last Name

JACOBS

Business Name

PHYLLIS M JACOBS

Original Issue Date

03/09/1983

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021