OPAL M DEPATIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041087443

License Status

NOT RENEWED

Business

First Name

OPAL M

Last Name

DEPATIS

Business Name

OPAL M DEPATIS

Original Issue Date

08/08/1957

Effective Date

05/03/2012

Expiration Date

05/31/2014

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/03/2014