LAUREL L ROACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161066

License Status

NOT RENEWED

Business

First Name

LAUREL L

Last Name

ROACH

Business Name

LAUREL L ROACH

Original Issue Date

06/10/1975

Effective Date

06/10/1975

City

GREENDALE

State

Zip

53129

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006