ROGER WILLIAM GREENSLATE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193046

License Status

NOT RENEWED

Business

First Name

ROGER WILLIAM

Last Name

GREENSLATE

Business Name

ROGER WILLIAM GREENSLATE

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/2002

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006