MARK N JACOB Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383537

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

JACOB

Business Name

MARK N JACOB

Original Issue Date

04/26/2010

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2012