FANNIE L SWAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017342

License Status

NOT RENEWED

Business

First Name

FANNIE L

Last Name

SWAN

Business Name

FANNIE L SWAN

Original Issue Date

12/19/1966

Expiration Date

01/31/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005