SHIRLEY MAE FUGLESTAD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339021

License Status

INACTIVE

Business

First Name

SHIRLEY

Middle

MAE

Last Name

FUGLESTAD

Business Name

SHIRLEY MAE FUGLESTAD

Original Issue Date

02/10/2004

Effective Date

02/10/2004

Expiration Date

05/31/2008

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/11/2008