GLENDA LEA FORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041505

License Status

NOT RENEWED

Business

First Name

GLENDA LEA

Last Name

FORTH

Business Name

GLENDA LEA FORTH

Original Issue Date

02/02/1977

Expiration Date

01/31/1989

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/21/2005