PATTI JO FASAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158166

License Status

NOT RENEWED

Business

First Name

PATTI JO

Last Name

FASAN

Business Name

PATTI JO FASAN

Original Issue Date

12/06/1974

Effective Date

12/06/1974

Expiration Date

05/31/2002

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006