TAMARA S FANALE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046425

License Status

INACTIVE

Business

First Name

TAMARA S

Last Name

FANALE

Business Name

TAMARA S FANALE

Original Issue Date

01/26/1979

Effective Date

12/13/2000

Expiration Date

01/31/2001

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005