MISTY R LAFORME Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083613

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

Last Name

LAFORME

Business Name

MISTY R LAFORME

Original Issue Date

04/12/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005