STACEY L FORTENBERRY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041243922

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

FORTENBERRY

Business Name

STACEY L FORTENBERRY

Original Issue Date

10/02/1987

Effective Date

10/02/1987

Expiration Date

05/31/1990

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

09/27/2006