DALLAS E DOMROSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041094851

License Status

NOT RENEWED

Business

First Name

DALLAS E

Last Name

DOMROSE

Business Name

DALLAS E DOMROSE

Original Issue Date

11/25/1959

Effective Date

11/25/1959

Expiration Date

05/31/1988

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006