BERNICE FORT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068824

License Status

NOT RENEWED

Business

First Name

BERNICE

Last Name

FORT

Business Name

BERNICE FORT

Original Issue Date

08/22/1990

Expiration Date

01/31/1995

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

1994005307

Action

Refuse To Renew

Discipline Start Date

10/06/1994

Discipline Reason

Defaulted on Illinois Student Assistance loan.