LORI C FONG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006820

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

FONG

Business Name

LORI C FONG

Original Issue Date

10/17/2007

Effective Date

04/14/2010

Expiration Date

05/31/2012

City

INVERNESS

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012