MARY ANN JACOBY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012861

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

JACOBY

Business Name

MARY ANN JACOBY

Original Issue Date

12/17/1964

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/21/2005