FIERLYN CLEMENTE WHITAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340510

License Status

NOT RENEWED

Business

First Name

FIERLYN

Middle

CLEMENTE

Last Name

WHITAKER

Business Name

FIERLYN CLEMENTE WHITAKER

Original Issue Date

06/28/2004

Effective Date

03/14/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016