SHIRLEY MAE FUGLESTAD - Registered Nurse License in Illinois | # 041339021

SHIRLEY MAE FUGLESTAD

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339021

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2008