DEREK A FORTIN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041425730

License Status

ACTIVE

Business

First Name

DEREK

Middle

Last Name

FORTIN

Business Name

DEREK A FORTIN

Original Issue Date

10/28/2014

Effective Date

02/27/2025

Expiration Date

05/31/2026

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/28/2026