DEIDRA R FONTANA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041299369

License Status

NOT RENEWED

Business

First Name

DEIDRA R

Last Name

FONTANA

Business Name

DEIDRA R FONTANA

Original Issue Date

08/23/1996

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

WETUMPKA

State

Zip

36093

Ever Disciplined

LastModifiedDate

05/27/2022