GWEN ANN FAIRES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044599

License Status

NOT RENEWED

Business

First Name

GWEN ANN

Last Name

FAIRES

Business Name

GWEN ANN FAIRES

Original Issue Date

06/29/1978

Expiration Date

01/31/1987

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005