JAN W FAULTERSACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210554

License Status

INACTIVE

Business

First Name

JAN W

Last Name

FAULTERSACK

Business Name

JAN W FAULTERSACK

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

05/31/1986

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006