MITZIE RALPH FAIRFIELD - Advanced Practice Nurse License in Illinois | # 209000689

MITZIE RALPH FAIRFIELD

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000689

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026