CARMENCITA F FONVILLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041292677

License Status

NOT RENEWED

Business

First Name

CARMENCITA

Middle

Last Name

FONVILLE

Business Name

CARMENCITA F FONVILLE

Original Issue Date

09/27/1995

Effective Date

05/15/2012

Expiration Date

05/31/2014

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/03/2014