CASEY KING FORTENBERRY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041456256

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

KING

Last Name

FORTENBERRY

Business Name

CASEY KING FORTENBERRY

Original Issue Date

08/02/2017

Effective Date

05/11/2022

Expiration Date

06/30/2024

City

HAMMOND

State

Zip

70401

Ever Disciplined

LastModifiedDate

02/05/2025