JESSE FONTONIA M FORTNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083491

License Status

INACTIVE

Business

First Name

JESSE FONTONIA

Middle

Last Name

FORTNER

Business Name

JESSE FONTONIA M FORTNER

Original Issue Date

03/08/1999

Effective Date

02/10/2003

Expiration Date

01/31/2003

City

INDIANAPOLIS

State

Zip

46229

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005