MADONNA S FERNANDEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041289047

License Status

NOT RENEWED

Business

First Name

MADONNA

Middle

Last Name

FERNANDEZ

Business Name

MADONNA S FERNANDEZ

Original Issue Date

06/15/1995

Effective Date

06/15/1995

Expiration Date

05/31/2002

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006