KATELYN A FORTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041410248

License Status

INACTIVE

Business

First Name

KATELYN

Middle

Last Name

FORTH

Business Name

KATELYN A FORTH

Original Issue Date

04/25/2013

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

NASHVILLE

State

Zip

62263

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/29/2022