DELORES E FORSBERG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041083186

License Status

INACTIVE

Business

First Name

DELORES E

Last Name

FORSBERG

Business Name

DELORES E FORSBERG

Original Issue Date

12/20/1955

Effective Date

03/31/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2012