PAMELA FAYE SCHAFFART Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

FAYE

Last Name

SCHAFFART

Business Name

PAMELA FAYE SCHAFFART

Original Issue Date

11/15/2004

Effective Date

11/15/2004

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61170

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2008