DOMINIQUE SKYE FIETSAM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041460720

License Status

ACTIVE

Business

First Name

DOMINIQUE

Middle

SKYE

Last Name

FIETSAM

Business Name

DOMINIQUE SKYE FIETSAM

Original Issue Date

12/21/2017

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

BETTENDORF

State

Zip

52722

Ever Disciplined

LastModifiedDate

03/01/2026