SALLY M FORSMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041243298

License Status

INACTIVE

Business

First Name

SALLY M

Last Name

FORSMAN

Business Name

SALLY M FORSMAN

Original Issue Date

10/02/1987

Effective Date

04/20/2010

Expiration Date

05/31/2012

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

03/08/2012