EDITH F FOSSUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041038139

License Status

NOT RENEWED

Business

First Name

EDITH F

Last Name

FOSSUM

Business Name

EDITH F FOSSUM

Original Issue Date

01/08/1940

Effective Date

01/08/1940

Expiration Date

05/31/1986

City

CAMBRIDGE

State

Zip

61238

County

HENRY

Ever Disciplined

LastModifiedDate

09/27/2006