JILL M FAIRBANKS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

INACTIVE

Business

First Name

JILL

Middle

Last Name

FAIRBANKS

Business Name

JILL M FAIRBANKS

Original Issue Date

04/09/2022

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

COELLO

State

Zip

62825

County

FRANKLIN

Ever Disciplined

LastModifiedDate

11/24/2025