BETH ANN FORIR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000522

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ANN

Last Name

FORIR

Business Name

BETH ANN FORIR

Original Issue Date

05/25/2001

Effective Date

03/22/2012

Expiration Date

05/31/2014

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014