BEVERLY A DEPTOLLA - Registered Nurse License in Illinois | # 041119436

BEVERLY A DEPTOLLA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119436

License Status

INACTIVE

Business

N

First Name

BEVERLY A

Last Name

DEPTOLLA

Business Name

BEVERLY A DEPTOLLA

Original Issue Date

11/07/1966

Effective Date

11/07/1966

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006