JACKIE LEA ROACH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168380

License Status

ACTIVE

Business

First Name

JACKIE LEA

Last Name

ROACH

Business Name

JACKIE LEA ROACH

Original Issue Date

11/01/1976

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

03/18/2026