SISTER M ROBERTA CUSACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110922

License Status

INACTIVE

Business

First Name

SISTER M ROBERTA

Last Name

CUSACK

Business Name

SISTER M ROBERTA CUSACK

Original Issue Date

10/08/1964

Effective Date

10/08/1964

Expiration Date

05/31/1984

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006