PAULINE M JACOB Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043005849

License Status

NOT RENEWED

Business

First Name

PAULINE M

Last Name

JACOB

Business Name

PAULINE M JACOB

Expiration Date

01/31/1987

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005