LA VERNA FREDENSBORG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041039116

License Status

INACTIVE

Business

First Name

LA VERNA

Last Name

FREDENSBORG

Business Name

LA VERNA FREDENSBORG

Original Issue Date

04/01/1940

Effective Date

04/01/1940

Expiration Date

05/31/1990

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/27/2006