DEBRA JEANNE BLACKWELL-FAMBROUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345361

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

JEANNE

Last Name

BLACKWELL-FAMBROUGH

Business Name

DEBRA JEANNE BLACKWELL-FAMBROUGH

Original Issue Date

03/23/2005

Effective Date

03/23/2005

Expiration Date

05/31/2006

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006