ELAINE RENE ROARK

Business Entity
NOT RENEWED

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041209741

NOT RENEWED

N

ELAINE

RENE

ROARK

ELAINE RENE ROARK

05/10/1982

05/10/1982

05/31/2006

EDWARDS

IL

61528

PEORIA

Y

10/09/2006

1990006129

Termination

01/03/1991

06/12/2001

Submitted a non-bankable remittance to the Department.