AMY A LA FATA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041262122

License Status

ACTIVE

Business

First Name

AMY A

Last Name

LA FATA

Business Name

AMY A LA FATA

Original Issue Date

04/22/1991

Effective Date

03/10/2026

Expiration Date

05/31/2028

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

03/10/2026