DONNA S FORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066286

License Status

NOT RENEWED

Business

First Name

DONNA S

Last Name

FORTH

Business Name

DONNA S FORTH

Original Issue Date

12/27/1988

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

IUKA

State

Zip

62849

County

MARION

Ever Disciplined

LastModifiedDate

03/17/2009