JAMIE L DE LA ROSA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041397061

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

DE LA ROSA

Business Name

JAMIE L DE LA ROSA

Original Issue Date

09/28/2011

Effective Date

05/20/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018