HANNAH LUSTANAS FONTANIL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041476939

License Status

NOT RENEWED

Business

First Name

HANNAH

Middle

LUSTANAS

Last Name

FONTANIL

Business Name

HANNAH LUSTANAS FONTANIL

Original Issue Date

03/14/2019

Effective Date

06/16/2022

Expiration Date

06/30/2024

City

RAPID CITY

State

Zip

57701

Ever Disciplined

LastModifiedDate

02/05/2025