ANNAMMA JACOB Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041311200

License Status

INACTIVE

Business

First Name

ANNAMMA

Last Name

JACOB

Business Name

ANNAMMA JACOB

Original Issue Date

09/08/1998

Effective Date

04/05/2010

Expiration Date

05/31/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012