KATHLEEN S ROACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041080404

License Status

NOT RENEWED

Business

First Name

KATHLEEN S

Last Name

ROACH

Business Name

KATHLEEN S ROACH

Original Issue Date

01/04/1955

Effective Date

01/04/1955

Expiration Date

05/31/1994

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

09/27/2006