BEVERLY A WILLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270792

License Status

INACTIVE

Business

First Name

BEVERLY A

Last Name

WILLIS

Business Name

BEVERLY A WILLIS

Original Issue Date

10/06/1992

Effective Date

05/29/2012

Expiration Date

05/31/2014

City

SOUTH BEND

State

Zip

46628

County

INDIANA

Ever Disciplined

LastModifiedDate

03/06/2014