JANICE FOUNTAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146933

License Status

NOT RENEWED

Business

First Name

JANICE

Last Name

FOUNTAIN

Business Name

JANICE FOUNTAIN

Original Issue Date

12/13/1972

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

MARSHFIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/16/2010