Professional Records
License Records
Liza J Jacob
Address:
3910 Washington Rd APT 208, Kenosha, WI
License #:
2876972 - Expired
Category:
Health Care
Issued Date:
Oct 19, 1994
Effective Date:
May 17, 2001
Expiration Date:
Apr 30, 1999
Type:
Registered Nurse