ELIZABETH FANTA SIDIKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077203

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

FANTA

Last Name

SIDIKI

Business Name

ELIZABETH FANTA SIDIKI

Original Issue Date

03/06/1995

Expiration Date

01/31/1999

City

CANTON

State

Zip

02021

Ever Disciplined

LastModifiedDate

05/27/2005