JEETHU A JACOB Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041502437

License Status

NOT RENEWED

Business

First Name

JEETHU

Middle

Last Name

JACOB

Business Name

JEETHU A JACOB

Original Issue Date

10/28/2020

Effective Date

10/28/2020

Expiration Date

08/31/2022

City

BERGENFIELD

State

Zip

07621

Ever Disciplined

LastModifiedDate

10/14/2022