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*****43

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

ROACH

Business Name

DANIELLE M ROACH

Original Issue Date

07/29/2015

Effective Date

04/12/2016

Expiration Date

05/31/2018

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018