LESLIE D FANCHER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213096

License Status

INACTIVE

Business

First Name

LESLIE D

Last Name

FANCHER

Business Name

LESLIE D FANCHER

Original Issue Date

11/04/1982

Effective Date

05/29/2012

Expiration Date

05/31/2014

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2014