ANNA RICE FORTSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132862

License Status

NOT RENEWED

Business

First Name

ANNA RICE

Last Name

FORTSON

Business Name

ANNA RICE FORTSON

Original Issue Date

09/16/1969

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012