KATLEEN KEITH FATALLA HERNANDEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406663

License Status

NOT RENEWED

Business

First Name

KATLEEN KEITH

Middle

FATALLA

Last Name

HERNANDEZ

Business Name

KATLEEN KEITH FATALLA HERNANDEZ

Original Issue Date

10/17/2012

Effective Date

04/30/2022

Expiration Date

06/30/2024

City

EL PASO

State

Zip

79924

Ever Disciplined

LastModifiedDate

02/05/2025