SUSAN DEBRA FORTIN - Registered Nurse License in Michigan | # 041196245

SUSAN DEBRA FORTIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196245

License Status

NOT RENEWED

Business

N

First Name

SUSAN DEBRA

Last Name

FORTIN

Business Name

SUSAN DEBRA FORTIN

Original Issue Date

08/06/1980

Effective Date

08/06/1980

Expiration Date

05/01/1982

State

MI

Ever Disciplined

N

LastModifiedDate

09/27/2006