BRANDY M FORREST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043106941

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

Last Name

FORREST

Business Name

BRANDY M FORREST

Original Issue Date

11/03/2008

Effective Date

11/08/2012

Expiration Date

01/31/2015

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/18/2015