ANITA R FISK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045647

License Status

INACTIVE

Business

First Name

ANITA R

Last Name

FISK

Business Name

ANITA R FISK

Original Issue Date

01/26/1979

Effective Date

01/11/2011

Expiration Date

01/31/2013

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

11/08/2012