KELLY K FORSTER IVY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103869

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

FORSTER IVY

Business Name

KELLY K FORSTER IVY

Original Issue Date

08/14/2007

Effective Date

08/14/2007

Expiration Date

01/31/2009

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

03/17/2009