DAVID R FOSSE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027915

License Status

INACTIVE

Business

First Name

DAVID R

Last Name

FOSSE

Business Name

DAVID R FOSSE

Original Issue Date

02/08/1971

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005