DEBRA FOMBY SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047978

License Status

NOT RENEWED

Business

First Name

DEBRA FOMBY

Last Name

SMITH

Business Name

DEBRA FOMBY SMITH

Original Issue Date

01/07/1980

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005