DORIS A WATERWORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041091933

License Status

NOT RENEWED

Business

First Name

DORIS A

Last Name

WATERWORTH

Business Name

DORIS A WATERWORTH

Original Issue Date

12/01/1958

Effective Date

05/16/2016

Expiration Date

05/31/2018

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

07/19/2018