MARY C FORTMAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062646

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

FORTMAN

Business Name

MARY C FORTMAN

Original Issue Date

02/18/1986

Effective Date

10/31/2024

Expiration Date

01/31/2027

City

DUBUQUE

State

Zip

52002

Ever Disciplined

LastModifiedDate

12/01/2024