ELISABETH G JACOBSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119901

License Status

NOT RENEWED

Business

First Name

ELISABETH G

Last Name

JACOBSEN

Business Name

ELISABETH G JACOBSEN

Original Issue Date

11/22/1966

Effective Date

11/22/1966

Expiration Date

05/31/2004

City

ST GERMAIN

State

Zip

54558

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006