KARLA LEA FOUNTAIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296805

License Status

INACTIVE

Business

First Name

KARLA LEA

Last Name

FOUNTAIN

Business Name

KARLA LEA FOUNTAIN

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

05/31/1998

City

MADISON

State

Zip

53719

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006