JACQUELINE M ROACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107000

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

ROACH

Business Name

JACQUELINE M ROACH

Original Issue Date

08/28/1963

Effective Date

08/28/1963

Expiration Date

05/31/1984

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006