MARY PATRICIA LAFONTAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160153

License Status

NOT RENEWED

Business

First Name

MARY PATRICIA

Last Name

LAFONTAIN

Business Name

MARY PATRICIA LAFONTAIN

Original Issue Date

04/07/1975

Effective Date

04/07/1975

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/27/2006