CARLA A FABRIQUE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065714

License Status

NOT RENEWED

Business

First Name

CARLA A

Last Name

FABRIQUE

Business Name

CARLA A FABRIQUE

Original Issue Date

02/06/1988

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/17/2009