DANIELLE M ROACH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

ROACH

Business Name

DANIELLE M ROACH

Original Issue Date

01/26/2017

Effective Date

01/26/2017

Expiration Date

05/31/2018

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018