PAMELA S FONVILLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065483

License Status

NOT RENEWED

Business

First Name

PAMELA S

Last Name

FONVILLE

Business Name

PAMELA S FONVILLE

Original Issue Date

12/29/1987

Expiration Date

01/31/1989

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005