ANGELA MARIE DAVAULT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041155148

License Status

INACTIVE

Business

First Name

ANGELA

Middle

MARIE

Last Name

DAVAULT

Business Name

ANGELA MARIE DAVAULT

Original Issue Date

09/11/1974

Effective Date

05/18/2010

Expiration Date

05/31/2012

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/08/2012