JENNIFER T ROACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041402129

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

ROACH

Business Name

JENNIFER T ROACH

Original Issue Date

07/09/2012

Effective Date

03/18/2016

Expiration Date

05/31/2018

City

MICHIGAN CITY

State

Zip

46360

Ever Disciplined

LastModifiedDate

07/19/2018