MIA H FAGERSTROM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041534074

License Status

ACTIVE

Business

First Name

MIA

Middle

Last Name

FAGERSTROM

Prefix

Business Name

MIA H FAGERSTROM

Original Issue Date

10/25/2022

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026