DELORIS HATHAWAY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115394

License Status

NOT RENEWED

Business

First Name

DELORIS

Last Name

HATHAWAY

Business Name

DELORIS HATHAWAY

Original Issue Date

12/03/1965

Effective Date

12/03/1965

Expiration Date

05/31/1998

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006