JACOB LEWIS WALDORF Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041507634

License Status

ACTIVE

Business

First Name

JACOB

Middle

LEWIS

Last Name

WALDORF

Business Name

JACOB LEWIS WALDORF

Original Issue Date

03/29/2021

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

OXFORD

State

Zip

48371

Ever Disciplined

LastModifiedDate

02/28/2026