SUSAN DEBRA FORTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196245

License Status

NOT RENEWED

Business

First Name

SUSAN DEBRA

Last Name

FORTIN

Business Name

SUSAN DEBRA FORTIN

Original Issue Date

08/06/1980

Effective Date

08/06/1980

Expiration Date

05/01/1982

City

MADISON HEIGHTS

State

Zip

48071

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006