LAURA BETH FORTKAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335412

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

BETH

Last Name

FORTKAMP

Business Name

LAURA BETH FORTKAMP

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006