SHIRLEY FORTIN RICHMANN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315371

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

FORTIN

Last Name

RICHMANN

Business Name

SHIRLEY FORTIN RICHMANN

Original Issue Date

08/04/1999

Effective Date

08/04/1999

Expiration Date

05/31/2006

City

HURLBURT FIELD

State

Zip

32544

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006