JACQUELINE SOPHIA DEROOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041372543

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

SOPHIA

Last Name

DEROOS

Business Name

JACQUELINE SOPHIA DEROOS

Original Issue Date

10/21/2008

Effective Date

10/21/2008

Expiration Date

05/31/2010

City

BIRNAMWOOD

State

Zip

54414

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/16/2010