RAPHAEL F FENWICK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010212

License Status

INACTIVE

Business

First Name

RAPHAEL F

Last Name

FENWICK

Business Name

RAPHAEL F FENWICK

Original Issue Date

04/02/1962

Expiration Date

05/01/1982

City

AMBOY

State

Zip

61310

County

LEE

Ever Disciplined

LastModifiedDate

10/21/2005