MARTHA C FONTAINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153803

License Status

NOT RENEWED

Business

First Name

MARTHA C

Last Name

FONTAINE

Business Name

MARTHA C FONTAINE

Original Issue Date

02/22/1974

Effective Date

04/24/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021