TITA ROACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132100

License Status

NOT RENEWED

Business

First Name

TITA

Last Name

ROACH

Business Name

TITA ROACH

Original Issue Date

08/26/1969

Effective Date

05/20/2020

Expiration Date

08/31/2022

City

DIXON

State

Zip

61021

County

OGLE

Ever Disciplined

LastModifiedDate

10/14/2022