MISTY R LAFORME - Registered Nurse License in Illinois | # 043083613

MISTY R LAFORME

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083613

License Status

NOT RENEWED

Business

N

First Name

MISTY

Middle

R

Last Name

LAFORME

Business Name

MISTY R LAFORME

Original Issue Date

04/12/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005