DARLENE R FORTKAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041253419

License Status

NOT RENEWED

Business

First Name

DARLENE R

Last Name

FORTKAMP

Business Name

DARLENE R FORTKAMP

Original Issue Date

09/21/1989

Effective Date

09/21/1989

Expiration Date

05/31/2002

City

STRASBURG

State

Zip

62465

County

SHELBY

Ever Disciplined

LastModifiedDate

10/09/2006