SUSAN A FONTANA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003691

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

FONTANA

Business Name

SUSAN A FONTANA

Original Issue Date

08/22/2001

Effective Date

03/16/2016

Expiration Date

05/31/2018

City

RINGWOOD

State

Zip

60072

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/19/2018