DOLORES M ROACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043471

License Status

NOT RENEWED

Business

First Name

DOLORES M

Last Name

ROACH

Business Name

DOLORES M ROACH

Original Issue Date

02/14/1978

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

LITCHFIELD

State

Zip

62056

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/15/2005