MOLLIE L ROUNSAVALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089813

License Status

INACTIVE

Business

First Name

MOLLIE

Middle

Last Name

ROUNSAVALL

Business Name

MOLLIE L ROUNSAVALL

Original Issue Date

05/25/2004

Effective Date

01/21/2005

Expiration Date

01/31/2005

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

2004007155

Action

Suspension

Discipline Start Date

10/01/2005

Discipline Reason

Until respondent submits evidence that she is fit to practice.