MARTINA Z FORTICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216936

License Status

NOT RENEWED

Business

First Name

MARTINA Z

Last Name

FORTICH

Business Name

MARTINA Z FORTICH

Original Issue Date

08/04/1983

Effective Date

08/04/1983

Expiration Date

05/31/1986

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006