ELIZABETH FANTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041470598

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

FANTA

Business Name

ELIZABETH FANTA

Original Issue Date

09/25/2018

Effective Date

09/25/2018

Expiration Date

09/30/2020

City

WESTLAKE

State

Zip

44145

Ever Disciplined

LastModifiedDate

01/14/2021