DOROTHY FAHLBERG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026113

License Status

INACTIVE

Business

First Name

DOROTHY

Last Name

FAHLBERG

Business Name

DOROTHY FAHLBERG

Original Issue Date

02/02/1970

Effective Date

12/09/2010

Expiration Date

01/31/2013

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

11/08/2012