ROBERTA DEPAUW - Registered Nurse License in Illinois | # 043043394

ROBERTA DEPAUW

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043394

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005