KEVIN MATTHEW FAHNESTOCK - Registered Nurse License in Missouri | # 043107345

KEVIN MATTHEW FAHNESTOCK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107345

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

MATTHEW

Last Name

FAHNESTOCK

Business Name

KEVIN MATTHEW FAHNESTOCK

Original Issue Date

01/22/2009

Effective Date

12/27/2010

Expiration Date

01/31/2013

State

MO

Ever Disciplined

N

LastModifiedDate

03/20/2013