JUDITH M FORTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080053

License Status

NOT RENEWED

Business

First Name

JUDITH M

Last Name

FORTIN

Business Name

JUDITH M FORTIN

Original Issue Date

10/29/1996

Effective Date

12/29/2008

Expiration Date

01/31/2011

City

CHEBANSE

State

Zip

60922

County

IROQUOIS

Ever Disciplined

LastModifiedDate

03/10/2011