JILL M FAIRBANKS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022604

License Status

INACTIVE

Business

First Name

JILL

Middle

Last Name

FAIRBANKS

Business Name

JILL M FAIRBANKS

Original Issue Date

12/30/2020

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

COELLO

State

Zip

62825

County

FRANKLIN

Ever Disciplined

LastModifiedDate

11/24/2025