MARY LYNN LAFASTO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033347

License Status

INACTIVE

Business

First Name

MARY LYNN

Last Name

LAFASTO

Business Name

MARY LYNN LAFASTO

Original Issue Date

07/26/1973

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005