JAMIE L FORSYTHE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007210

License Status

INACTIVE

Business

First Name

JAMIE

Middle

Last Name

FORSYTHE

Business Name

JAMIE L FORSYTHE

Original Issue Date

08/13/2008

Effective Date

05/21/2022

Expiration Date

06/30/2024

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/03/2024