ROBERTA J BONSALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116452

License Status

INACTIVE

Business

First Name

ROBERTA J

Last Name

BONSALL

Business Name

ROBERTA J BONSALL

Original Issue Date

12/28/1965

Effective Date

12/28/1965

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006