BERTHA J FONTANA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041082016

License Status

INACTIVE

Business

First Name

BERTHA J

Last Name

FONTANA

Business Name

BERTHA J FONTANA

Original Issue Date

11/18/1955

Effective Date

11/18/1955

Expiration Date

05/31/2008

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

03/11/2008