JACOBA MIEDEMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043023439

License Status

NOT RENEWED

Business

First Name

JACOBA

Last Name

MIEDEMA

Business Name

JACOBA MIEDEMA

Original Issue Date

07/02/1968

Expiration Date

01/31/1993

City

ELKGROVE VLG

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005