ROY W DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019246

License Status

NOT RENEWED

Business

First Name

ROY W

Last Name

DOUGLAS

Business Name

ROY W DOUGLAS

Original Issue Date

06/06/1967

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005