ROBERTA JEAN CHURCHILL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041156480

License Status

NOT RENEWED

Business

First Name

ROBERTA JEAN

Last Name

CHURCHILL

Business Name

ROBERTA JEAN CHURCHILL

Original Issue Date

09/11/1974

Effective Date

03/20/2014

Expiration Date

05/31/2016

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016