CARLA JEAN FANELLI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041268408

License Status

NOT RENEWED

Business

First Name

CARLA JEAN

Last Name

FANELLI

Business Name

CARLA JEAN FANELLI

Original Issue Date

05/04/1992

Effective Date

05/04/1992

Expiration Date

05/31/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006