MABEL FASSOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041066274

License Status

NOT RENEWED

Business

First Name

MABEL

Last Name

FASSOLD

Business Name

MABEL FASSOLD

Original Issue Date

01/26/1956

Effective Date

01/26/1956

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006