JAMIE D FAST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041347579

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

FAST

Business Name

JAMIE D FAST

Original Issue Date

08/10/2005

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/14/2021