THEODORE L STA ROSA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041377043

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

STA ROSA

Business Name

THEODORE L STA ROSA

BusinessDBA

N/A

Original Issue Date

07/14/2009

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021