CASEY LYNN FORTHMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041493277

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

LYNN

Last Name

FORTHMAN

Business Name

CASEY LYNN FORTHMAN

Original Issue Date

03/17/2020

Effective Date

03/17/2020

Expiration Date

08/31/2022

City

BROOKPORT

State

Zip

62910

County

MASSAC

Ever Disciplined

LastModifiedDate

10/14/2022