JACOB D FORSMAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041431867

License Status

ACTIVE

Business

First Name

JACOB

Middle

Last Name

FORSMAN

Business Name

JACOB D FORSMAN

Original Issue Date

07/09/2015

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

02/28/2026