JENNIFER A FIELDS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041380122

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

FIELDS

Business Name

JENNIFER A FIELDS

Original Issue Date

09/29/2009

Effective Date

09/29/2009

Expiration Date

05/31/2010

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

08/16/2010