CHRISTINE A FORT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340734

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

FORT

Business Name

CHRISTINE A FORT

Original Issue Date

07/08/2004

Effective Date

05/30/2008

Expiration Date

05/31/2010

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

08/16/2010