JENNIFER DIANE CONNOLLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041384290

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

DIANE

Last Name

CONNOLLY

Business Name

JENNIFER DIANE CONNOLLY

Original Issue Date

06/16/2010

Effective Date

06/16/2010

Expiration Date

05/31/2012

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012