THERESA ROXANNE MELICHAR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041156394

License Status

NOT RENEWED

Business

First Name

THERESA ROXANNE

Last Name

MELICHAR

Business Name

THERESA ROXANNE MELICHAR

Original Issue Date

09/11/1974

Effective Date

09/11/1974

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006