DENA DIANNE FORT - Registered Nurse License in Illinois | # 041332007

DENA DIANNE FORT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332007

License Status

NOT RENEWED

Business

N

First Name

DENA

Middle

DIANNE

Last Name

FORT

Business Name

DENA DIANNE FORT

Original Issue Date

08/28/2002

Effective Date

06/02/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016