DOROTHY J FAHNESTOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059415

License Status

NOT RENEWED

Business

First Name

DOROTHY J

Last Name

FAHNESTOCK

Business Name

DOROTHY J FAHNESTOCK

Original Issue Date

07/19/1984

Effective Date

11/14/2016

Expiration Date

01/31/2019

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/28/2019