CARYN A JACOB Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041214247

License Status

NOT RENEWED

Business

First Name

CARYN A

Last Name

JACOB

Business Name

CARYN A JACOB

Original Issue Date

11/04/1982

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

THREE LAKES

State

Zip

54562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021