JENNY L FURTAK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006343

License Status

INACTIVE

Business

First Name

JENNY

Middle

Last Name

FURTAK

Business Name

JENNY L FURTAK

Original Issue Date

11/29/2006

Effective Date

11/29/2006

Expiration Date

05/31/2008

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/09/2008