DIANE P JACOBSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111878

License Status

NOT RENEWED

Business

First Name

DIANE P

Last Name

JACOBSEN

Business Name

DIANE P JACOBSEN

Original Issue Date

11/25/1964

Effective Date

11/25/1964

City

ARPIN

State

Zip

54410

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006