AMANDA KATHRYN FAIRLESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113620

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

KATHRYN

Last Name

FAIRLESS

Business Name

AMANDA KATHRYN FAIRLESS

Original Issue Date

10/05/2011

Effective Date

10/05/2011

Expiration Date

01/31/2013

City

BELKNAP

State

Zip

62908

Ever Disciplined

LastModifiedDate

03/20/2013