M JANE FAIRBANKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115571

License Status

INACTIVE

Business

First Name

M JANE

Last Name

FAIRBANKS

Business Name

M JANE FAIRBANKS

Original Issue Date

12/15/1965

Effective Date

12/15/1965

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006