Jan W Faultersack
InactiveIllinois license 041210554
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041210554
- Status
- Inactive
- First issued
- August 3, 1982
- Expired
- May 31, 1986
- License holder
- Jan W Faultersack
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 08/03/1982
Contact
Peoria, IL 61614
Peoria County