SANDRA L FAWBUSH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089920

License Status

INACTIVE

Business

First Name

SANDRA

Middle

Last Name

FAWBUSH

Business Name

SANDRA L FAWBUSH

Original Issue Date

07/01/2004

Effective Date

12/06/2010

Expiration Date

01/31/2013

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

11/08/2012