ISABEL F FAIRCLOTH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

INACTIVE

Business

First Name

ISABEL

Middle

Last Name

FAIRCLOTH

Business Name

ISABEL F FAIRCLOTH

Original Issue Date

09/10/2002

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/10/2020