STEPHANIE M FEWKES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090668

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

FEWKES

Business Name

STEPHANIE M FEWKES

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

01/31/2007

City

GRANT PARK

State

Zip

60940

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/16/2007