ROGER R ALLEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305892

License Status

INACTIVE

Business

First Name

ROGER

Middle

Last Name

ALLEN

Business Name

ROGER R ALLEN

Original Issue Date

09/15/1997

Effective Date

08/01/2018

Expiration Date

09/30/2020

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2020