BEVERLY A DEPTOLLA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119436

License Status

INACTIVE

Business

First Name

BEVERLY A

Last Name

DEPTOLLA

Business Name

BEVERLY A DEPTOLLA

Original Issue Date

11/07/1966

Effective Date

11/07/1966

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006