LAURA FOUNTAIN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

INOPERATIVE

Business

First Name

LAURA

Last Name

FOUNTAIN

Business Name

LAURA FOUNTAIN

Original Issue Date

10/26/2018

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026