SHANNON K FORTH - Registered Nurse License in Illinois | # 041355421

SHANNON K FORTH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041355421

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

K

Last Name

FORTH

Business Name

SHANNON K FORTH

Original Issue Date

08/28/2006

Effective Date

03/11/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

08/16/2010