ROBERTA L ROBERTS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085612

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

Last Name

ROBERTS

Business Name

ROBERTA L ROBERTS

Original Issue Date

11/15/2000

Effective Date

02/24/2004

Expiration Date

01/31/2005

City

MURRAYVILLE

State

Zip

62668

County

MORGAN

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

2002000579

Action

Suspension

Discipline Start Date

02/24/2004

Discipline Reason

Violated the terms and conditions of a previously imposed probation.