LESA FAIRBANKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102516

License Status

INACTIVE

Business

First Name

LESA

Last Name

FAIRBANKS

Business Name

LESA FAIRBANKS

Original Issue Date

10/24/2006

Effective Date

02/01/2011

Expiration Date

01/31/2013

City

CHATTANOOGA

State

Zip

37421

County

TENNESSEE

Ever Disciplined

LastModifiedDate

11/08/2012