BARBARA J FANTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039220

License Status

NOT RENEWED

Business

First Name

BARBARA J

Last Name

FANTA

Business Name

BARBARA J FANTA

Original Issue Date

03/09/1976

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011