JENNIFER ANN FOROVZESH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189156

License Status

NOT RENEWED

Business

First Name

JENNIFER ANN

Last Name

FOROVZESH

Business Name

JENNIFER ANN FOROVZESH

Original Issue Date

09/10/1979

Effective Date

09/10/1979

Expiration Date

05/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006