WILLIENA A FONVILLE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043122831

License Status

ACTIVE

Business

First Name

WILLIENA

Middle

Last Name

FONVILLE

Business Name

WILLIENA A FONVILLE

Original Issue Date

08/10/2016

Effective Date

01/30/2025

Expiration Date

01/31/2027

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/30/2025