JACQUELIN J GROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041071049

License Status

INACTIVE

Business

First Name

JACQUELIN J

Last Name

GROTH

Business Name

JACQUELIN J GROTH

Original Issue Date

01/22/1952

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ARMINGTON

State

Zip

61721

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/05/2010