KATHLEEN FORTMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041085106

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Last Name

FORTMAN

Business Name

KATHLEEN FORTMAN

Original Issue Date

11/07/1956

Effective Date

11/07/1956

City

BISMARCK

State

Zip

58501

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

09/27/2006