SANDRA JEAN FENNER BAKKELUND Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041151166

License Status

INACTIVE

Business

First Name

SANDRA JEAN

Middle

FENNER

Last Name

BAKKELUND

Business Name

SANDRA JEAN FENNER BAKKELUND

Original Issue Date

10/03/1973

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2018