ANGELIQUE FORBES JEROME Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045628

License Status

INACTIVE

Business

First Name

ANGELIQUE FORBES

Last Name

JEROME

Business Name

ANGELIQUE FORBES JEROME

Original Issue Date

01/26/1979

Effective Date

01/15/2019

Expiration Date

01/31/2021

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

11/08/2020