STEPHANIE R JACOBSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041346995

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

JACOBSON

Business Name

STEPHANIE R JACOBSON

Original Issue Date

08/02/2005

Effective Date

09/11/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014