CAMILLE LYNETTE FOLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055474

License Status

NOT RENEWED

Business

First Name

CAMILLE LYNETTE

Last Name

FOLA

Business Name

CAMILLE LYNETTE FOLA

Original Issue Date

02/23/1983

Expiration Date

01/31/1993

City

GARY

State

Zip

46403

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

2004005001

Action

Suspension

Discipline Start Date

07/06/2005

Discipline Reason

Failed to file and/or pay Illinois income taxes.