LYNNE FASSL ERBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174548

License Status

NOT RENEWED

Business

First Name

LYNNE FASSL

Last Name

ERBACH

Business Name

LYNNE FASSL ERBACH

Original Issue Date

07/07/1977

Effective Date

10/28/2014

Expiration Date

05/31/2016

City

FITCHBURG

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016