RANDI T FORBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041364926

License Status

NOT RENEWED

Business

First Name

RANDI

Middle

Last Name

FORBERG

Business Name

RANDI T FORBERG

Original Issue Date

11/14/2007

Effective Date

05/27/2016

Expiration Date

05/31/2018

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018