CHARLES EDWIN JACOBS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030981

License Status

NOT RENEWED

Business

First Name

CHARLES EDWIN

Last Name

JACOBS

Business Name

CHARLES EDWIN JACOBS

Original Issue Date

08/01/1972

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/12/2007