FLORENCE BETTY C ROQUE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

NOT RENEWED

Business

First Name

FLORENCE BETTY C

Last Name

ROQUE

Business Name

FLORENCE BETTY C ROQUE

Original Issue Date

08/28/2003

Effective Date

08/28/2003

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006