MATTHEW S FORBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041301152

License Status

NOT RENEWED

Business

First Name

MATTHEW S

Last Name

FORBERG

Business Name

MATTHEW S FORBERG

Original Issue Date

11/26/1996

Effective Date

11/26/1996

Expiration Date

05/31/1998

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006