CAROL S FAIRLESS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041207554

License Status

INACTIVE

Business

First Name

CAROL S

Last Name

FAIRLESS

Business Name

CAROL S FAIRLESS

Original Issue Date

10/07/1981

Effective Date

11/02/2020

Expiration Date

08/31/2022

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

05/02/2022