ILENE RENEE FORTNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041384332

License Status

NOT RENEWED

Business

First Name

ILENE

Middle

RENEE

Last Name

FORTNER

Business Name

ILENE RENEE FORTNER

Original Issue Date

06/21/2010

Effective Date

03/17/2016

Expiration Date

05/31/2018

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018