HARLEAN Y FORTSON - Registered Nurse License in Illinois | # 041093268

HARLEAN Y FORTSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041093268

License Status

NOT RENEWED

Business

N

First Name

HARLEAN Y

Last Name

FORTSON

Business Name

HARLEAN Y FORTSON

Original Issue Date

04/01/1959

Effective Date

04/01/1959

Expiration Date

05/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006