JAMIE L FORSYTHE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INACTIVE

Business

First Name

JAMIE

Middle

Last Name

FORSYTHE

Business Name

JAMIE L FORSYTHE

Original Issue Date

12/30/2009

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/02/2024