ISABEL F FAIRCLOTH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005626

License Status

INACTIVE

Business

First Name

ISABEL

Middle

Last Name

FAIRCLOTH

Business Name

ISABEL F FAIRCLOTH

Original Issue Date

08/02/2005

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/10/2020