DIANA K JACOBS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012859

License Status

NOT RENEWED

Business

First Name

DIANA K

Last Name

JACOBS

Business Name

DIANA K JACOBS

Original Issue Date

12/17/1964

City

LA PORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005