SHAVONTAE S FOUNTAIN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041433992

License Status

ACTIVE

Business

First Name

SHAVONTAE

Middle

Last Name

FOUNTAIN

Business Name

SHAVONTAE S FOUNTAIN

Original Issue Date

08/13/2015

Effective Date

06/13/2024

Expiration Date

05/31/2026

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2026