LILLIE E FAGERSTROM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041028248

License Status

INACTIVE

Business

First Name

LILLIE E

Last Name

FAGERSTROM

Business Name

LILLIE E FAGERSTROM

Original Issue Date

10/16/1934

Effective Date

10/16/1934

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006