LISA EVELINE ROACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077808

License Status

INACTIVE

Business

First Name

LISA

Middle

EVELINE

Last Name

ROACH

Business Name

LISA EVELINE ROACH

Original Issue Date

08/28/1995

Expiration Date

01/31/1999

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/27/2005