ADA J ROACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179858

License Status

NOT RENEWED

Business

First Name

ADA J

Last Name

ROACH

Business Name

ADA J ROACH

Original Issue Date

04/03/1978

Effective Date

04/03/1978

City

FRANKLIN

State

Zip

42134

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/27/2006