AMANDA NICHOLE FORTMAN - Registered Nurse License in Ohio | # 041375237

AMANDA NICHOLE FORTMAN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041375237

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

NICHOLE

Last Name

FORTMAN

Business Name

AMANDA NICHOLE FORTMAN

Original Issue Date

04/09/2009

Effective Date

04/09/2009

Expiration Date

05/31/2010

State

OH

Ever Disciplined

N

LastModifiedDate

08/16/2010