MARVIN LEWIS FAIRCLOTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041488207

License Status

NOT RENEWED

Business

First Name

MARVIN

Middle

LEWIS

Last Name

FAIRCLOTH

Business Name

MARVIN LEWIS FAIRCLOTH

Original Issue Date

11/19/2019

Effective Date

09/17/2020

Expiration Date

08/31/2022

City

ACWORTH

State

Zip

30101

Ever Disciplined

LastModifiedDate

10/14/2022