LATEISHA N FORT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017544

License Status

INACTIVE

Business

First Name

LATEISHA

Middle

Last Name

FORT

Business Name

LATEISHA N FORT

Original Issue Date

04/25/2018

Effective Date

05/11/2022

Expiration Date

05/31/2024

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023