CATHERINE C FORTMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057617

License Status

NOT RENEWED

Business

First Name

CATHERINE C

Last Name

FORTMAN

Business Name

CATHERINE C FORTMAN

Original Issue Date

12/27/1983

Expiration Date

01/31/1987

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

10/21/2005