ROBERTA DEPAUW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043394

License Status

INACTIVE

Business

First Name

ROBERTA

Last Name

DEPAUW

Business Name

ROBERTA DEPAUW

Original Issue Date

02/14/1978

Effective Date

01/19/2005

Expiration Date

01/31/2005

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/15/2005