LORI ANN VAN FOSSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041313132

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANN

Last Name

VAN FOSSEN

Business Name

LORI ANN VAN FOSSEN

Original Issue Date

02/09/1999

Effective Date

02/09/1999

Expiration Date

05/31/2004

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006