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*****21

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

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018