DALE R WITLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041292534

License Status

NOT RENEWED

Business

First Name

DALE R

Last Name

WITLOCK

Business Name

DALE R WITLOCK

Original Issue Date

09/20/1995

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021