DEIDRA R FONTANA - Advanced Practice Nurse License in Illinois | # 209004723

DEIDRA R FONTANA

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004723

License Status

NOT RENEWED

Business

N

First Name

DEIDRA R

Last Name

FONTANA

Business Name

DEIDRA R FONTANA

Original Issue Date

06/18/2003

Effective Date

03/15/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012