KEITH B DUBOIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139366

License Status

INACTIVE

Business

First Name

KEITH B

Last Name

DUBOIS

Business Name

KEITH B DUBOIS

Original Issue Date

06/17/1971

Effective Date

06/17/1971

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006