JACOB T FORSYTHE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041368085

License Status

ACTIVE

Business

First Name

JACOB

Middle

Last Name

FORSYTHE

Business Name

JACOB T FORSYTHE

Original Issue Date

06/10/2008

Effective Date

03/16/2026

Expiration Date

05/31/2028

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2026