License holder summary

JACOB RUSSELL DEBONI is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for JACOB RUSSELL DEBONI is Goshen, IN 46528. This licensed professional license is not current. The license was granted 07/07/2011 and expired on 07/07/2012.

Michigan

Department of Licensing and Regulation

JACOB RUSSELL DEBONI
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704285441
Date granted
07/07/2011
Date expires
07/07/2012
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Goshen, IN 46528
michiganlicensing.org
ID 25838811
LAST UPDATED 2026-04-02 19:16:07 UTC

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