DAVID L CANCELOSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041256020

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

CANCELOSE

Business Name

DAVID L CANCELOSE

Original Issue Date

12/16/1989

Effective Date

12/16/1989

Expiration Date

05/31/1996

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

1992000398

Action

Probation

Discipline Start Date

06/20/1994

Discipline End Date

03/22/1995

Discipline Reason

Substance abuse problem.