ALICE M FORSETH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123091

License Status

INACTIVE

Business

First Name

ALICE M

Last Name

FORSETH

Business Name

ALICE M FORSETH

Original Issue Date

10/02/1967

Effective Date

10/02/1967

Expiration Date

05/31/2004

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006