VERLA J FORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041251838

License Status

NOT RENEWED

Business

First Name

VERLA J

Last Name

FORTH

Business Name

VERLA J FORTH

Original Issue Date

04/18/1989

Effective Date

04/01/2014

Expiration Date

05/31/2016

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

07/11/2016