CRYSTAL LEE JACOBS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041498063

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

LEE

Last Name

JACOBS

Business Name

CRYSTAL LEE JACOBS

Original Issue Date

07/30/2020

Effective Date

07/30/2020

Expiration Date

08/31/2022

City

RANDOM LAKE

State

Zip

53075

Ever Disciplined

LastModifiedDate

10/14/2022