JERROLD J AMBROSE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041253654

License Status

INACTIVE

Business

First Name

JERROLD J

Last Name

AMBROSE

Business Name

JERROLD J AMBROSE

Original Issue Date

09/21/1989

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

PALMYRA

State

Zip

62674

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/06/2018