LAURA E FANN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041170765

License Status

NOT RENEWED

Business

First Name

LAURA E

Last Name

FANN

Business Name

LAURA E FANN

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/1992

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006