BONNIE D FORBIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

BONNIE

Middle

Last Name

FORBIS

Business Name

BONNIE D FORBIS

Original Issue Date

05/20/2005

Effective Date

05/20/2005

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008