PENELOPE G FORKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102259

License Status

NOT RENEWED

Business

First Name

PENELOPE G

Last Name

FORKER

Business Name

PENELOPE G FORKER

Original Issue Date

01/23/1962

Effective Date

01/23/1962

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006