JACQUELYN MARY ROSA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158857

License Status

INACTIVE

Business

First Name

JACQUELYN MARY

Last Name

ROSA

Business Name

JACQUELYN MARY ROSA

Original Issue Date

12/12/1974

Effective Date

04/28/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012