MIDGE A FUGATE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122601

License Status

NOT RENEWED

Business

First Name

MIDGE A

Last Name

FUGATE

Business Name

MIDGE A FUGATE

Original Issue Date

09/07/1967

Effective Date

09/07/1967

Expiration Date

05/31/1986

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006