NANCY LEE FORTLAGE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134873

License Status

INACTIVE

Business

First Name

NANCY LEE

Last Name

FORTLAGE

Business Name

NANCY LEE FORTLAGE

Original Issue Date

03/20/1970

Effective Date

03/20/1970

City

DOVER

State

Zip

44622

County

OHIO

Ever Disciplined

LastModifiedDate

09/27/2006