DAVID J FOSDYCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062098

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

FOSDYCK

Business Name

DAVID J FOSDYCK

Original Issue Date

01/10/1986

Effective Date

12/28/2012

Expiration Date

01/31/2015

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

03/09/2015