SUSAN A FONTANA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

FONTANA

Business Name

SUSAN A FONTANA

Original Issue Date

08/27/2001

Effective Date

08/27/2001

Expiration Date

05/31/2008

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/11/2008