CAROLLINE SUE FOSBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086744

License Status

NOT RENEWED

Business

First Name

CAROLLINE

Middle

SUE

Last Name

FOSBERG

Business Name

CAROLLINE SUE FOSBERG

Original Issue Date

11/08/2001

Effective Date

12/28/2012

Expiration Date

01/31/2015

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/09/2015