ROBERTA D CHURCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176227

License Status

NOT RENEWED

Business

First Name

ROBERTA D

Last Name

CHURCH

Business Name

ROBERTA D CHURCH

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/1988

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006