AMBILI M JACOB Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041410871

License Status

ACTIVE

Business

First Name

AMBILI

Middle

Last Name

JACOB

Business Name

AMBILI M JACOB

Original Issue Date

06/07/2013

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2026