PAULA K FONTAINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079234

License Status

NOT RENEWED

Business

First Name

PAULA K

Last Name

FONTAINE

Business Name

PAULA K FONTAINE

Original Issue Date

05/15/1996

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

ENFIELD

State

Zip

62335

County

WHITE

Ever Disciplined

LastModifiedDate

10/15/2005