GALE A FAZIO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035876

License Status

INACTIVE

Business

First Name

GALE A

Last Name

FAZIO

Business Name

GALE A FAZIO

Original Issue Date

01/30/1975

Expiration Date

05/01/1982

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005