IVAJANE L FORKIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128207

License Status

INACTIVE

Business

First Name

IVAJANE L

Last Name

FORKIN

Business Name

IVAJANE L FORKIN

Original Issue Date

10/04/1968

Effective Date

10/04/1968

Expiration Date

05/01/1982

City

LANSING

State

Zip

48912

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006