REBECCA S FAIRALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100679

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

FAIRALL

Business Name

REBECCA S FAIRALL

Original Issue Date

10/20/2005

Effective Date

10/20/2005

Expiration Date

01/31/2007

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/16/2007