JEAN ANNE R STAAB Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041077179

License Status

INACTIVE

Business

First Name

JEAN ANNE R

Last Name

STAAB

Business Name

JEAN ANNE R STAAB

Original Issue Date

12/17/1953

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/05/2010