ROBERTA JANE BOLL GORE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161910

License Status

INACTIVE

Business

First Name

ROBERTA JANE

Middle

BOLL

Last Name

GORE

Business Name

ROBERTA JANE BOLL GORE

Original Issue Date

10/24/1975

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/08/2020