LATEISHA N FORT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002648

License Status

ACTIVE

Business

First Name

LATEISHA

Middle

Last Name

FORT

Business Name

LATEISHA N FORT

Original Issue Date

06/13/2023

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026