JANICE M DALLAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041206706

License Status

NOT RENEWED

Business

First Name

JANICE M

Last Name

DALLAVIS

Business Name

JANICE M DALLAVIS

Original Issue Date

10/07/1981

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016