WILLARD B FOUNTAIN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041474188

License Status

ACTIVE

Business

First Name

WILLARD

Middle

Last Name

FOUNTAIN

Prefix

Business Name

WILLARD B FOUNTAIN

Original Issue Date

01/22/2019

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60619

Ever Disciplined

LastModifiedDate

02/28/2026