ISABEL F FAIRCLOTH - Advanced Practice Nurse License in Illinois | # 209005626

ISABEL F FAIRCLOTH

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005626

License Status

INACTIVE

Business

N

First Name

ISABEL

Middle

F

Last Name

FAIRCLOTH

Business Name

ISABEL F FAIRCLOTH

Original Issue Date

08/02/2005

Effective Date

03/08/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/10/2020