ALICE E FERNANDEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067565

License Status

NOT RENEWED

Business

First Name

ALICE

Middle

Last Name

FERNANDEZ

Business Name

ALICE E FERNANDEZ

Original Issue Date

01/03/1990

Effective Date

08/25/2005

Expiration Date

01/31/2007

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2007