HOLLY J JACOBS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041261119

License Status

NOT RENEWED

Business

First Name

HOLLY J

Last Name

JACOBS

Business Name

HOLLY J JACOBS

Original Issue Date

12/21/1990

Effective Date

12/21/1990

Expiration Date

05/31/2002

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2001006869

Action

Probation

Discipline Start Date

01/06/2003

Discipline Reason

Diverted duragesic patches and is impaired.