JACOBA VANDERVAART Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146320

License Status

INACTIVE

Business

First Name

JACOBA

Last Name

VANDERVAART

Business Name

JACOBA VANDERVAART

Original Issue Date

11/02/1972

Effective Date

11/02/1972

Expiration Date

05/31/1996

City

FINLAYSON

State

Zip

55735

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/27/2006