JACQUELINE SOPHIA DEROOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046915

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

SOPHIA

Last Name

DEROOS

Business Name

JACQUELINE SOPHIA DEROOS

Original Issue Date

07/13/1979

Expiration Date

05/01/1982

City

ANTIGO

State

Zip

54409

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/16/2008