AMM MARIE GRACE P DE JESUS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089233

License Status

NOT RENEWED

Business

First Name

AMM MARIE GRACE

Middle

Last Name

DE JESUS

Business Name

AMM MARIE GRACE P DE JESUS

Original Issue Date

11/14/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005