FERN L DALAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142614

License Status

NOT RENEWED

Business

First Name

FERN L

Last Name

DALAL

Business Name

FERN L DALAL

Original Issue Date

12/01/1971

Effective Date

12/01/1971

Expiration Date

05/31/2002

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006