JACQUELYN S FORST - Registered Nurse License in Illinois | # 041123336

JACQUELYN S FORST

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123336

License Status

NOT RENEWED

Business

N

First Name

JACQUELYN S

Last Name

FORST

Business Name

JACQUELYN S FORST

Original Issue Date

10/02/1967

Effective Date

03/18/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016