BRITTANY DIANNE FOWLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041480666

License Status

NOT RENEWED

Business

First Name

BRITTANY

Middle

DIANNE

Last Name

FOWLER

Business Name

BRITTANY DIANNE FOWLER

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

09/30/2020

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021