DENA DIANNE FORT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332007

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016