ICELL FENTRESS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014480

License Status

INACTIVE

Business

First Name

ICELL

Last Name

FENTRESS

Business Name

ICELL FENTRESS

Original Issue Date

02/02/1966

Expiration Date

01/31/1985

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005