MARILYN I FOWLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041096093

License Status

NOT RENEWED

Business

First Name

MARILYN I

Last Name

FOWLER

Business Name

MARILYN I FOWLER

Original Issue Date

04/01/1960

Effective Date

03/18/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012