LISA ELIZABETH FORTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041426750

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ELIZABETH

Last Name

FORTIN

Business Name

LISA ELIZABETH FORTIN

Original Issue Date

12/30/2014

Effective Date

06/11/2022

Expiration Date

06/30/2024

City

OGDENSBURG

State

Zip

13669

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/05/2025