License holder summary

MARIAM K. JACOB is a Nursing - Licensed Practical Nurse licensed to practice in Maine. The address on file for MARIAM K. JACOB is 3 KIMBALL DR, SCARBOROUGH, ME 04074-9003. This licensed professional license is not current. The license was granted 05/18/1978 and expired on 05/27/1986.

Maine

Office of Professional and Occupational Regulation

MARIAM K. JACOB
Nursing - Licensed Practical Nurse
License number
LPN5679
Date granted
05/18/1978
Date expires
05/27/1986
Class
Nursing - Licensed Practical Nurse
Status
Failed to Renew
Address
3 KIMBALL DR, SCARBOROUGH, ME 04074-9003
mainelicensing.org
ID 21259301
LAST UPDATED 2024-04-04 23:42:49 UTC

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