ROBIN RENEE FORTMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

ROBIN

Middle

RENEE

Last Name

FORTMAN

Business Name

ROBIN RENEE FORTMAN

Original Issue Date

06/26/2001

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60611

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026