REBECCA A ROOT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079115

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

ROOT

Business Name

REBECCA A ROOT

Original Issue Date

04/06/1996

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

COLCHESTER

State

Zip

62326

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/15/2005