ROSE DERGANC Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016086

License Status

INACTIVE

Business

First Name

ROSE

Last Name

DERGANC

Business Name

ROSE DERGANC

Original Issue Date

09/16/1966

Expiration Date

05/01/1982

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005