MARY DIANE FORTMANN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139383

License Status

NOT RENEWED

Business

First Name

MARY DIANE

Last Name

FORTMANN

Business Name

MARY DIANE FORTMANN

Original Issue Date

06/17/1971

Effective Date

05/05/2014

Expiration Date

05/31/2016

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016