SALLY ANNETTE FOUNTAIN DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041511508

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

ANNETTE FOUNTAIN

Last Name

DAVIS

Business Name

SALLY ANNETTE FOUNTAIN DAVIS

BusinessDBA

SALLY ANNETTE FOUNTAIN

Original Issue Date

07/12/2021

Effective Date

07/12/2021

Expiration Date

08/31/2022

City

ENKA

State

Zip

28728

Ever Disciplined

LastModifiedDate

10/14/2022