MICHELLE L FATTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115249

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

FATTA

Business Name

MICHELLE L FATTA

Original Issue Date

08/14/2012

Effective Date

11/13/2012

Expiration Date

01/31/2015

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/09/2015