DIANNA K FORTSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034451

License Status

INACTIVE

Business

First Name

DIANNA K

Last Name

FORTSON

Business Name

DIANNA K FORTSON

Original Issue Date

02/22/1974

Effective Date

11/16/2010

Expiration Date

01/31/2013

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

11/08/2012