KERI L FUGATE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316338

License Status

NOT RENEWED

Business

First Name

KERI

Middle

Last Name

FUGATE

Business Name

KERI L FUGATE

Original Issue Date

09/03/1999

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/11/2016