DAISY JACOB Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349977

License Status

INACTIVE

Business

First Name

DAISY

Last Name

JACOB

Business Name

DAISY JACOB

Original Issue Date

11/09/2005

Effective Date

04/17/2012

Expiration Date

05/31/2014

City

STURTEVANT

State

Zip

53177

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/06/2014