MARY FORT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016905

License Status

INACTIVE

Business

First Name

MARY

Last Name

FORT

Business Name

MARY FORT

Original Issue Date

11/30/1966

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005