JUANITA B FAMBRO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043007406

License Status

NOT RENEWED

Business

First Name

JUANITA B

Last Name

FAMBRO

Business Name

JUANITA B FAMBRO

Original Issue Date

01/30/1957

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005