JACQUELINE S ROACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038066

License Status

NOT RENEWED

Business

First Name

JACQUELINE S

Last Name

ROACH

Business Name

JACQUELINE S ROACH

Original Issue Date

10/17/1975

Expiration Date

01/31/1989

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005