IRENE M FORTMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041078922

License Status

NOT RENEWED

Business

First Name

IRENE M

Last Name

FORTMAN

Business Name

IRENE M FORTMAN

Original Issue Date

11/01/1954

Effective Date

11/01/1954

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006