DAWN M FILLMORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088842

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

FILLMORE

Business Name

DAWN M FILLMORE

Original Issue Date

09/08/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005