POLLYANNA FOSSIE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022935

License Status

NOT RENEWED

Business

First Name

POLLYANNA

Last Name

FOSSIE

Business Name

POLLYANNA FOSSIE

Original Issue Date

04/01/1968

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005