AMY BETH FARDIG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407110

License Status

NOT RENEWED

Business

First Name

AMY

Middle

BETH

Last Name

FARDIG

Business Name

AMY BETH FARDIG

Original Issue Date

11/09/2012

Effective Date

11/09/2012

Expiration Date

05/31/2014

City

WEST BLOOMFIELD

State

Zip

48323

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/03/2014