ANDREA M FAHNESTOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083593

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

FAHNESTOCK

Business Name

ANDREA M FAHNESTOCK

Original Issue Date

04/06/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005