PENELOPE G FORKER - Registered Nurse License in Illinois | # 041102259

PENELOPE G FORKER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102259

License Status

NOT RENEWED

Business

N

First Name

PENELOPE G

Last Name

FORKER

Business Name

PENELOPE G FORKER

Original Issue Date

01/23/1962

Effective Date

01/23/1962

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006