TERRI B FONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038471

License Status

INACTIVE

Business

First Name

TERRI B

Last Name

FONG

Business Name

TERRI B FONG

Original Issue Date

01/06/1976

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005