BREA T FOWLKS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043138517

License Status

ACTIVE

Business

First Name

BREA

Middle

Last Name

FOWLKS

Business Name

BREA T FOWLKS

Original Issue Date

10/10/2025

Effective Date

10/10/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2025