SELENE M FORKES Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049472

License Status

INACTIVE

Business

First Name

SELENE

Middle

Last Name

FORKES

Business Name

SELENE M FORKES

Original Issue Date

07/02/1980

Effective Date

11/16/2000

Expiration Date

01/31/2001

City

NORTH RIVERSIDE

State

Zip

60546

Ever Disciplined

LastModifiedDate

10/15/2005