HAZEL-JEAN C FONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143106

License Status

NOT RENEWED

Business

First Name

HAZEL-JEAN C

Last Name

FONG

Business Name

HAZEL-JEAN C FONG

Original Issue Date

02/28/1972

Effective Date

02/28/1972

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006