ASHLEY D ROOSEVELT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104959

License Status

INACTIVE

Business

First Name

ASHLEY

Middle

Last Name

ROOSEVELT

Business Name

ASHLEY D ROOSEVELT

Original Issue Date

12/10/2007

Effective Date

12/10/2007

Expiration Date

01/31/2009

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/10/2008