MELODY R FAHNSTROM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041185047

License Status

INACTIVE

Business

First Name

MELODY R

Last Name

FAHNSTROM

Business Name

MELODY R FAHNSTROM

Original Issue Date

10/16/1978

Effective Date

04/17/2012

Expiration Date

05/31/2014

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

03/06/2014