MARK N JACOB - Registered Nurse License in Illinois | # 041383537

MARK N JACOB

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383537

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

N

Last Name

JACOB

Business Name

MARK N JACOB

Original Issue Date

04/26/2010

Effective Date

04/26/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012