ROBERTA A PERCIVAL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105716

License Status

INACTIVE

Business

First Name

ROBERTA A

Last Name

PERCIVAL

Business Name

ROBERTA A PERCIVAL

Original Issue Date

04/01/1963

Effective Date

04/01/1963

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006