JOAN A FANGMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143784

License Status

INACTIVE

Business

First Name

JOAN A

Last Name

FANGMAN

Business Name

JOAN A FANGMAN

Original Issue Date

06/07/1972

Effective Date

06/07/1972

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006