SUSAN J FONTAINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041177504

License Status

INACTIVE

Business

First Name

SUSAN J

Last Name

FONTAINE

Business Name

SUSAN J FONTAINE

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/1998

City

OLDSMAR

State

Zip

34677

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006