THERESA A FAIRBANK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105287

License Status

NOT RENEWED

Business

First Name

THERESA A

Last Name

FAIRBANK

Business Name

THERESA A FAIRBANK

Original Issue Date

12/28/1962

Effective Date

12/28/1962

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006