MITZIE RALPH FAIRFIELD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175709

License Status

ACTIVE

Business

First Name

MITZIE RALPH

Last Name

FAIRFIELD

Business Name

MITZIE RALPH FAIRFIELD

Original Issue Date

10/12/1977

Effective Date

03/23/2024

Expiration Date

05/31/2026

City

FOOSLAND

State

Zip

61845

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/28/2026