LESLIE T FORRESTER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

INACTIVE

Business

First Name

LESLIE

Middle

Last Name

FORRESTER

Business Name

LESLIE T FORRESTER

Original Issue Date

01/06/2017

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2022