MICHELLE ANN FORTHOFER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041322215

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANN

Last Name

FORTHOFER

Business Name

MICHELLE ANN FORTHOFER

Original Issue Date

10/05/2000

Effective Date

10/05/2000

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006