MARSHA L FOUNTAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041258503

License Status

NOT RENEWED

Business

First Name

MARSHA L

Last Name

FOUNTAIN

Business Name

MARSHA L FOUNTAIN

Original Issue Date

09/29/1990

Effective Date

05/12/2014

Expiration Date

05/31/2016

City

FLORISSANT

State

Zip

63033

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/11/2016