PHILLIP A FORTADO Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041577177

License Status

ACTIVE

Business

First Name

PHILLIP

Middle

Last Name

FORTADO

Business Name

PHILLIP A FORTADO

Original Issue Date

11/20/2024

Effective Date

11/20/2024

Expiration Date

05/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

03/01/2026