VICKI L FOUNTAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216988

License Status

NOT RENEWED

Business

First Name

VICKI L

Last Name

FOUNTAIN

Business Name

VICKI L FOUNTAIN

Original Issue Date

08/04/1983

Effective Date

03/28/2016

Expiration Date

05/31/2018

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/19/2018