License holder summary

PEGGY B JACOBSON-VAN DAM is a Nurse - Registered Nurse licensed to practice in Utah. The address on file for PEGGY B JACOBSON-VAN DAM is TOOELE, UT 84074. This nurse license is not current. The license was granted 09/29/1981 and expired on 11/19/2013.

Division of Occupational and Professional Licensing

Board of Nursing

PEGGY B JACOBSON-VAN DAM
Nurse - Registered Nurse
License number
208288-3102
Date granted
09/29/1981
Date expires
11/19/2013
Class
Nurse - Registered Nurse
Status
Surrendered
Address
TOOELE, UT 84074
nursingutah.org
ID 29858615
LAST UPDATED 2024-02-18 16:02:43 UTC

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