IMELDA N FORSBERG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

IMELDA N

Last Name

FORSBERG

Business Name

IMELDA N FORSBERG

Original Issue Date

01/18/2008

Effective Date

05/19/2024

Expiration Date

05/31/2026

City

KENOSHA

State

Zip

53142

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026