Department of Financial and Professional Regulation
Board of Nursing
DORATHEA M FACKLAM
Registered Professional Nurse
License number
041089598
Date granted
04/01/1958
Class
Registered Professional Nurse
Status
Not Renewed
Address
DOVER, PA 17315
illinoisnursing.org
ID 24634159
LAST UPDATED 2026-04-08 11:52:40 UTC
LAST UPDATED 2026-04-08 11:52:40 UTC
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