CAROLYN R FIDUCCIA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041080274

License Status

INACTIVE

Business

First Name

CAROLYN R

Last Name

FIDUCCIA

Business Name

CAROLYN R FIDUCCIA

Original Issue Date

01/04/1955

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2012