SHANNON K FORTH - Registered Nurse License in Illinois | # 043100553

SHANNON K FORTH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100553

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

K

Last Name

FORTH

Business Name

SHANNON K FORTH

Original Issue Date

10/05/2005

Effective Date

10/05/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007