Katherine Lynn Fasullo
ExpiredCalifornia license 95032113
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95032113
- Status
- Expired (Delinquent)
- First issued
- May 1, 2014
- Expired
- December 31, 2017
- License holder
- Katherine Lynn Fasullo
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5128 S Kimbark Ave
Apt 2NE
Chicago, IL 60615-3922
Apt 2NE
Chicago, IL 60615-3922
Cook County