MICHAEL R VAN DAELE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041347695

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

VAN DAELE

Business Name

MICHAEL R VAN DAELE

Original Issue Date

08/10/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/05/2010