BONNIE D FORBIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005265

License Status

NOT RENEWED

Business

First Name

BONNIE

Middle

Last Name

FORBIS

Business Name

BONNIE D FORBIS

Original Issue Date

08/31/2004

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008