JAMIE LAURITZEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041367374

License Status

NOT RENEWED

Business

First Name

JAMIE

Last Name

LAURITZEN

Business Name

JAMIE LAURITZEN

Original Issue Date

04/14/2008

Effective Date

04/12/2010

Expiration Date

05/31/2012

City

SOMONAUK

State

Zip

60552

County

DEKALB

Ever Disciplined

LastModifiedDate

07/10/2012

Case Number

2010008771

Action

Suspension

Discipline Start Date

01/12/2012

Discipline End Date

02/11/2012

Discipline Reason

for forging a physician signature on school authorization forms.