CRYSTAL J FUGATE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041434520

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

FUGATE

Business Name

CRYSTAL J FUGATE

Original Issue Date

08/27/2015

Effective Date

08/17/2022

Expiration Date

06/30/2024

City

SHOBONIER

State

Zip

62885

County

FAYETTE

Ever Disciplined

LastModifiedDate

02/05/2025