AMY MARIE FAGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183035

License Status

NOT RENEWED

Business

First Name

AMY MARIE

Last Name

FAGAN

Business Name

AMY MARIE FAGAN

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006