ASHLEY D ROOSEVELT - Registered Nurse License in Illinois | # 043104959

ASHLEY D ROOSEVELT

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104959

License Status

INACTIVE

Business

N

First Name

ASHLEY

Middle

D

Last Name

ROOSEVELT

Business Name

ASHLEY D ROOSEVELT

Original Issue Date

12/10/2007

Effective Date

12/10/2007

Expiration Date

01/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/10/2008