JACQUELYN R FENELON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041089053

License Status

NOT RENEWED

Business

First Name

JACQUELYN R

Last Name

FENELON

Business Name

JACQUELYN R FENELON

Original Issue Date

12/30/1957

Effective Date

05/03/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018