EDNA RIVERA FAIRBANKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089186

License Status

NOT RENEWED

Business

First Name

EDNA

Middle

RIVERA

Last Name

FAIRBANKS

Business Name

EDNA RIVERA FAIRBANKS

Original Issue Date

11/05/2003

Effective Date

11/16/2022

Expiration Date

02/28/2025

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/08/2025