ROBERTA L CHAVEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071925

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

Last Name

CHAVEZ

Business Name

ROBERTA L CHAVEZ

Original Issue Date

06/18/1992

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/15/2005