LORI C FONG - Advanced Practice Nurse License in Illinois | # 209006820

LORI C FONG

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006820

License Status

NOT RENEWED

Business

N

First Name

LORI

Middle

C

Last Name

FONG

Business Name

LORI C FONG

Original Issue Date

10/17/2007

Effective Date

04/14/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012