AMY GAIL JACOBUS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300947

License Status

INACTIVE

Business

First Name

AMY

Middle

GAIL

Last Name

JACOBUS

Business Name

AMY GAIL JACOBUS

Original Issue Date

11/06/1996

Effective Date

11/06/1996

Expiration Date

05/31/2006

City

MADISON

State

Zip

53719

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006