MARIBETH GILLETTE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032102

License Status

NOT RENEWED

Business

First Name

MARIBETH

Last Name

GILLETTE

Business Name

MARIBETH GILLETTE

Original Issue Date

12/13/1972

Effective Date

03/03/2005

Expiration Date

01/31/2005

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2007

Case Number

2002007706

Action

Probation

Discipline Start Date

06/25/2004

Discipline End Date

06/24/2007

Discipline Reason

Violated an employee assistance agreement with Provena Cor Mariae by diverting Morphine and inappropriately charting Dilaudid.