ANSUMOL JACOB Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041463366

License Status

NOT RENEWED

Business

First Name

ANSUMOL

Last Name

JACOB

Business Name

ANSUMOL JACOB

Original Issue Date

03/29/2018

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

PHILADELPHIA

State

Zip

19152

Ever Disciplined

LastModifiedDate

01/14/2021