DEIDRA R FONTANA
Advanced Practice Nurse
Illinois 209004723 Not Renewed
This Illinois license was held by DEIDRA R FONTANA. The license is no longer active. It was granted on 06/18/2003 and expired on 05/31/2012
LICENSE DETAILS
- License Number: 209004723
- Category: ADVANCED PRACTICE NURSE
- Status: Not Renewed
- Date Granted: 06/18/2003 (about 23 years ago)
- Expiry Date: 05/31/2012 (about 14 years ago)
LOCATIONS
A Address
ELMWOOD PARK, IL 60707