DAVID WAYNE FRY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338587

License Status

INACTIVE

Business

First Name

DAVID

Middle

WAYNE

Last Name

FRY

Business Name

DAVID WAYNE FRY

Original Issue Date

12/23/2003

Effective Date

12/23/2003

Expiration Date

05/31/2006

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006