EILEEN JUNE FONSECA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340355

License Status

NOT RENEWED

Business

First Name

EILEEN

Middle

JUNE

Last Name

FONSECA

Business Name

EILEEN JUNE FONSECA

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

05/31/2006

City

OMAHA

State

Zip

68164

County

NEBRASKA

Ever Disciplined

LastModifiedDate

10/09/2006