INGRID H FORSBERG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002009

License Status

INACTIVE

Business

First Name

INGRID

Middle

Last Name

FORSBERG

Business Name

INGRID H FORSBERG

Original Issue Date

06/29/2001

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

03/13/2018