JESSE FONTONIA M FORTNER - Registered Nurse License in Indiana | # 043083491

JESSE FONTONIA M FORTNER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083491

License Status

INACTIVE

Business

N

First Name

JESSE FONTONIA

Middle

M

Last Name

FORTNER

Business Name

JESSE FONTONIA M FORTNER

Original Issue Date

03/08/1999

Effective Date

02/10/2003

Expiration Date

01/31/2003

State

IN

Ever Disciplined

N

LastModifiedDate

10/15/2005