LORI LEE FORTLANDER - Registered Nurse License in Indiana | # 041340874

LORI LEE FORTLANDER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340874

License Status

NOT RENEWED

Business

N

First Name

LORI

Middle

LEE

Last Name

FORTLANDER

Business Name

LORI LEE FORTLANDER

Original Issue Date

07/12/2004

Effective Date

06/02/2014

Expiration Date

05/31/2016

State

IN

Ever Disciplined

N

LastModifiedDate

07/11/2016