PATRICIA ANN FONK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082214

License Status

INACTIVE

Business

First Name

PATRICIA

Middle

ANN

Last Name

FONK

Business Name

PATRICIA ANN FONK

Original Issue Date

04/21/1998

Effective Date

11/29/2010

Expiration Date

01/31/2013

City

BEACH PARK

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

11/08/2012