SALLY ANNETTE FOUNTAIN DAVIS - Registered Nurse License in North Carolina | # 041511508

SALLY ANNETTE FOUNTAIN DAVIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041511508

License Status

NOT RENEWED

Business

N

First Name

SALLY

Middle

ANNETTE FOUNTAIN

Last Name

DAVIS

Business Name

SALLY ANNETTE FOUNTAIN DAVIS

BusinessDBA

SALLY ANNETTE FOUNTAIN

Original Issue Date

07/12/2021

Effective Date

07/12/2021

Expiration Date

08/31/2022

State

NC

Ever Disciplined

N

LastModifiedDate

10/14/2022