JAN ELLEN FOUST Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150681

License Status

INACTIVE

Business

First Name

JAN ELLEN

Last Name

FOUST

Business Name

JAN ELLEN FOUST

Original Issue Date

10/03/1973

Effective Date

04/01/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2016