MICKEY L FAGERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210878

License Status

NOT RENEWED

Business

First Name

MICKEY L

Last Name

FAGERSON

Business Name

MICKEY L FAGERSON

Original Issue Date

09/23/1982

Effective Date

09/23/1982

Expiration Date

05/31/1994

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006