DIANE L JACOBSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049845

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

JACOBSON

Business Name

DIANE L JACOBSON

Original Issue Date

07/02/1980

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005