DOROTHY C SOUBA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041224253

License Status

NOT RENEWED

Business

First Name

DOROTHY C

Last Name

SOUBA

Business Name

DOROTHY C SOUBA

Original Issue Date

10/02/1984

Effective Date

05/22/2008

Expiration Date

05/31/2010

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/16/2010