JACQUELYN S FORST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123336

License Status

NOT RENEWED

Business

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

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

07/11/2016