ANGIE M FOURDYCE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109373

License Status

NOT RENEWED

Business

First Name

ANGIE

Middle

Last Name

FOURDYCE

Business Name

ANGIE M FOURDYCE

Original Issue Date

11/16/2009

Effective Date

11/22/2010

Expiration Date

01/31/2013

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/20/2013