GRACE A FUSSNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014103

License Status

NOT RENEWED

Business

First Name

GRACE A

Last Name

FUSSNER

Business Name

GRACE A FUSSNER

Original Issue Date

11/23/1965

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005