Lillie E Fagerstrom
InactiveIllinois license 041028248
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041028248
- Status
- Inactive
- First issued
- October 16, 1934
- License holder
- Lillie E Fagerstrom
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 10/16/1934
Contact
Rockford, IL 61107
Winnebago County