ANNA RICE FORTSON - Registered Nurse License in Illinois | # 041132862

ANNA RICE FORTSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132862

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012