JUSTINE IVORY FONTIEDERNEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043001878

License Status

NOT RENEWED

Business

First Name

JUSTINE IVORY

Last Name

FONTIEDERNEL

Business Name

JUSTINE IVORY FONTIEDERNEL

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005