COURTNEY ANNE FAGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101624

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

ANNE

Last Name

FAGAN

Business Name

COURTNEY ANNE FAGAN

Original Issue Date

05/25/2006

Effective Date

03/05/2009

Expiration Date

01/31/2011

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/10/2011