MARY ANN ROG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041201967

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

ROG

Business Name

MARY ANN ROG

Original Issue Date

05/19/1981

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021