MARYJO FONK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248428

License Status

INACTIVE

Business

First Name

MARYJO

Last Name

FONK

Business Name

MARYJO FONK

Original Issue Date

09/22/1988

Effective Date

03/26/2012

Expiration Date

05/31/2014

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/06/2014