MICHAEL A FASMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100829

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

FASMAN

Business Name

MICHAEL A FASMAN

Original Issue Date

11/14/2005

Effective Date

11/14/2005

Expiration Date

01/31/2007

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

03/16/2007