PRISCILLA M ROMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193947

License Status

NOT RENEWED

Business

First Name

PRISCILLA

Middle

Last Name

ROMAN

Business Name

PRISCILLA M ROMAN

Original Issue Date

12/10/1979

Effective Date

04/27/2010

Expiration Date

05/31/2012

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/10/2012