JENNY L FURTAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349191

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

Last Name

FURTAK

Business Name

JENNY L FURTAK

Original Issue Date

09/28/2005

Effective Date

03/04/2020

Expiration Date

08/31/2022

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2022