PEGGY ANN JACOB Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041371390

License Status

INACTIVE

Business

First Name

PEGGY

Middle

ANN

Last Name

JACOB

Business Name

PEGGY ANN JACOB

Original Issue Date

08/28/2008

Effective Date

05/14/2010

Expiration Date

05/31/2012

City

AVERILL PARK

State

Zip

12018

County

NEW YORK

Ever Disciplined

LastModifiedDate

03/08/2012