JENNIFER L FASANO Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

Last Name

FASANO

Business Name

JENNIFER L FASANO

Original Issue Date

09/11/2009

Effective Date

04/10/2012

Expiration Date

05/31/2014

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

04/09/2012