ODEYMHAR B FONTANILLA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041542480

License Status

ACTIVE

Business

First Name

ODEYMHAR

Middle

Last Name

FONTANILLA

Business Name

ODEYMHAR B FONTANILLA

Original Issue Date

04/24/2023

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

STATEN ISLAND

State

Zip

10309

Ever Disciplined

LastModifiedDate

03/01/2026