DELORIS RANDALL ROSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168386

License Status

NOT RENEWED

Business

First Name

DELORIS RANDALL

Last Name

ROSE

Business Name

DELORIS RANDALL ROSE

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006