ROGER W GREENSLATE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040429

License Status

INACTIVE

Business

First Name

ROGER W

Last Name

GREENSLATE

Business Name

ROGER W GREENSLATE

Original Issue Date

02/02/1977

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005