GERALYN MAY FATA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046194

License Status

NOT RENEWED

Business

First Name

GERALYN MAY

Last Name

FATA

Business Name

GERALYN MAY FATA

Original Issue Date

01/26/1979

Effective Date

01/25/2011

Expiration Date

01/31/2013

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

03/20/2013