MITZIE RALPH FAIRFIELD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000689

License Status

ACTIVE

Business

First Name

MITZIE RALPH

Last Name

FAIRFIELD

Business Name

MITZIE RALPH FAIRFIELD

Original Issue Date

06/08/2001

Effective Date

03/23/2024

Expiration Date

05/31/2026

City

FOOSLAND

State

Zip

61845

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026