JERRYL JANE TOM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043132027

License Status

ACTIVE

Business

First Name

JERRYL

Middle

JANE

Last Name

TOM

Business Name

JERRYL JANE TOM

Original Issue Date

07/20/2022

Effective Date

12/10/2024

Expiration Date

01/31/2027

City

ROUND LAKE HEIGHTS

State

Zip

60073

Ever Disciplined

LastModifiedDate

12/10/2024