MARK J FORTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323091

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

FORTIN

Business Name

MARK J FORTIN

Original Issue Date

01/05/2001

Effective Date

05/10/2016

Expiration Date

05/31/2018

City

ELLICOTT CITY

State

Zip

21042

County

MARYLAND

Ever Disciplined

LastModifiedDate

07/19/2018