CHARLOTTE L H FOMBELLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041025736

License Status

NOT RENEWED

Business

First Name

CHARLOTTE L H

Last Name

FOMBELLE

Business Name

CHARLOTTE L H FOMBELLE

Original Issue Date

05/02/1933

Effective Date

05/02/1933

City

DECATUR

State

Zip

62526

County

MASON

Ever Disciplined

LastModifiedDate

09/27/2006