BECKY A SIMONELIC Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041113293

License Status

INACTIVE

Business

First Name

BECKY A

Last Name

SIMONELIC

Business Name

BECKY A SIMONELIC

Original Issue Date

04/01/1965

Effective Date

04/01/1965

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006