TAMMY L FAIRBANKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041314638

License Status

INACTIVE

Business

First Name

TAMMY

Middle

Last Name

FAIRBANKS

Business Name

TAMMY L FAIRBANKS

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

05/31/2008

City

HOMER

State

Zip

61849

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/11/2008