DORATHEA M FACKLAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041089598

License Status

NOT RENEWED

Business

First Name

DORATHEA M

Last Name

FACKLAM

Business Name

DORATHEA M FACKLAM

Original Issue Date

04/01/1958

Effective Date

04/01/1958

City

DOVER

State

Zip

17315

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/27/2006