KEVIN MATTHEW FAHNESTOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107345

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MATTHEW

Last Name

FAHNESTOCK

Business Name

KEVIN MATTHEW FAHNESTOCK

Original Issue Date

01/22/2009

Effective Date

12/27/2010

Expiration Date

01/31/2013

City

SAINTE GENEVIEVE

State

Zip

63670

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/20/2013