LIZA J JACOB
Nursing at Washington Rd, Kenosha, WI

License number
Florida 2876972
Issued Date
Oct 19, 1994
Effective Date
May 17, 2001
Expiration Date
Apr 30, 1999
Category
Health Care
Type
Registered Nurse
Address
Address
3910 Washington Rd APT 208, Kenosha, WI 53144
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Liza J Jacob, age 58
3910 Washington Rd, Kenosha, WI 53144

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