BETTY J FENNEMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111556

License Status

INACTIVE

Business

First Name

BETTY J

Last Name

FENNEMA

Business Name

BETTY J FENNEMA

Original Issue Date

11/25/1964

Effective Date

03/18/2014

Expiration Date

05/31/2016

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/16/2016