ROBERTA S BELLOVICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057243

License Status

INACTIVE

Business

First Name

ROBERTA S

Last Name

BELLOVICH

Business Name

ROBERTA S BELLOVICH

Original Issue Date

05/09/1983

Effective Date

12/29/2010

Expiration Date

01/31/2013

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

11/08/2012