LISA JENIECE FENELON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047331

License Status

NOT RENEWED

Business

First Name

LISA JENIECE

Last Name

FENELON

Business Name

LISA JENIECE FENELON

Original Issue Date

07/13/1979

Expiration Date

01/31/1995

City

ARGYLE

State

Zip

61011

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005