WAVERLY B FIELDS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041054576

License Status

INACTIVE

Business

First Name

WAVERLY B

Last Name

FIELDS

Business Name

WAVERLY B FIELDS

Original Issue Date

09/17/1946

Effective Date

09/17/1946

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006