JORDAN FOUNTAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041518265

License Status

NOT RENEWED

Business

First Name

JORDAN

Last Name

FOUNTAIN

Business Name

JORDAN FOUNTAIN

Original Issue Date

11/16/2021

Effective Date

11/16/2021

Expiration Date

08/31/2022

City

NEWPORT

State

Zip

48166

Ever Disciplined

LastModifiedDate

10/14/2022