SALLY J BACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116216

License Status

INACTIVE

Business

First Name

SALLY J

Last Name

BACH

Business Name

SALLY J BACH

Original Issue Date

12/15/1965

Effective Date

03/26/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2012