PATRICIA A FAZZONE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041234817

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

FAZZONE

Business Name

PATRICIA A FAZZONE

Original Issue Date

03/11/1986

Effective Date

05/03/2010

Expiration Date

05/31/2012

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012