LARRY MAX FORT - Advanced Practice Nurse License in Tennessee | # 209029742

LARRY MAX FORT

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029742

License Status

ACTIVE

Business

N

First Name

LARRY

Middle

MAX

Last Name

FORT

Business Name

LARRY MAX FORT

Original Issue Date

05/20/2024

Effective Date

05/20/2024

Expiration Date

05/31/2026

State

TN

Ever Disciplined

N

LastModifiedDate

03/02/2026