SANDRA LEE FORNEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003626

License Status

INACTIVE

Business

First Name

SANDRA LEE

Last Name

FORNEY

Business Name

SANDRA LEE FORNEY

Original Issue Date

08/15/2001

Effective Date

08/15/2001

Expiration Date

05/31/2004

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

06/09/2008