DAVID A RODERICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041292096

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

RODERICK

Business Name

DAVID A RODERICK

Original Issue Date

09/11/1995

Effective Date

05/23/2018

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/14/2021