LATEISHA N FORT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

INACTIVE

Business

First Name

LATEISHA

Middle

Last Name

FORT

Business Name

LATEISHA N FORT

Original Issue Date

07/31/2018

Effective Date

05/11/2022

Expiration Date

05/31/2024

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023