SHIRLEY FANTL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041067178

License Status

INACTIVE

Business

First Name

SHIRLEY

Last Name

FANTL

Business Name

SHIRLEY FANTL

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

05/31/1988

City

WESTCHESTER

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006