JACQUELINE M FORTIER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104124

License Status

INACTIVE

Business

First Name

JACQUELINE M

Last Name

FORTIER

Business Name

JACQUELINE M FORTIER

Original Issue Date

11/09/1962

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012