JACKLYN K FUGITT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270807

License Status

NOT RENEWED

Business

First Name

JACKLYN K

Last Name

FUGITT

Business Name

JACKLYN K FUGITT

Original Issue Date

10/06/1992

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

08/16/2010