LARRY MAX FORT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029742

License Status

ACTIVE

Business

First Name

LARRY

Middle

MAX

Last Name

FORT

Business Name

LARRY MAX FORT

Original Issue Date

05/20/2024

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

FRANKLIN

State

Zip

37064

Ever Disciplined

LastModifiedDate

03/02/2026