KAYLEEN MARIE FAIRBANKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041376822

License Status

INACTIVE

Business

First Name

KAYLEEN

Middle

MARIE

Last Name

FAIRBANKS

Business Name

KAYLEEN MARIE FAIRBANKS

Original Issue Date

07/08/2009

Effective Date

09/17/2020

Expiration Date

08/31/2022

City

APOLLO BEACH

State

Zip

33572

Ever Disciplined

LastModifiedDate

05/02/2022