ODEYMHAR B FONTANILLA - Registered Nurse License in New York | # 041542480

ODEYMHAR B FONTANILLA

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041542480

License Status

ACTIVE

Business

N

First Name

ODEYMHAR

Middle

B

Last Name

FONTANILLA

Business Name

ODEYMHAR B FONTANILLA

Original Issue Date

04/24/2023

Effective Date

04/02/2026

Expiration Date

05/31/2028

State

NY

Ever Disciplined

N

LastModifiedDate

04/02/2026