JACQUELINE SOPHIA DEROOS - Registered Nurse License in Wisconsin | # 043046915

JACQUELINE SOPHIA DEROOS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046915

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

SOPHIA

Last Name

DEROOS

Business Name

JACQUELINE SOPHIA DEROOS

Original Issue Date

07/13/1979

Expiration Date

05/01/1982

State

WI

Ever Disciplined

N

LastModifiedDate

09/16/2008