JENNIFER L FASANO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

FASANO

Business Name

JENNIFER L FASANO

Original Issue Date

06/23/2010

Effective Date

04/10/2014

Expiration Date

05/31/2016

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

07/11/2016