LARA M FASHOLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108125

License Status

NOT RENEWED

Business

First Name

LARA

Middle

Last Name

FASHOLA

Business Name

LARA M FASHOLA

Original Issue Date

06/18/2009

Effective Date

04/24/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019