ANGELA M FORREST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087083

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

FORREST

Business Name

ANGELA M FORREST

Original Issue Date

02/04/2002

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

03/17/2009