SANDRA M FAIRES Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117198

License Status

INACTIVE

Business

First Name

SANDRA M

Last Name

FAIRES

Business Name

SANDRA M FAIRES

Original Issue Date

03/22/1966

Effective Date

03/22/1966

Expiration Date

05/31/2008

City

SAINT JACOB

State

Zip

62281

County

MADISON

Ever Disciplined

LastModifiedDate

03/11/2008