DEBRA J BOOTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316699

License Status

INACTIVE

Business

First Name

DEBRA

Middle

Last Name

BOOTH

Business Name

DEBRA J BOOTH

Original Issue Date

09/21/1999

Effective Date

05/24/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012