BETHANY LEE FONDAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041493845

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

LEE

Last Name

FONDAW

Business Name

BETHANY LEE FONDAW

Original Issue Date

03/31/2020

Effective Date

03/31/2020

Expiration Date

08/31/2022

City

GILBERTSVILLE

State

Zip

42044

Ever Disciplined

LastModifiedDate

10/14/2022