STEPHANIE R JACOBSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087718

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

JACOBSON

Business Name

STEPHANIE R JACOBSON

Original Issue Date

09/19/2002

Effective Date

11/30/2004

Expiration Date

01/31/2007

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2007