JEUNESE A FORCHIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

NOT RENEWED

Business

First Name

JEUNESE

Middle

Last Name

FORCHIN

Business Name

JEUNESE A FORCHIN

Original Issue Date

05/29/2015

Effective Date

03/24/2016

Expiration Date

05/31/2018

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2018