LARRY MAX FORT Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041565384

License Status

ACTIVE

Business

First Name

LARRY

Middle

MAX

Last Name

FORT

Business Name

LARRY MAX FORT

Original Issue Date

05/14/2024

Effective Date

03/01/2026

Expiration Date

05/31/2028

City

FRANKLIN

State

Zip

37064

Ever Disciplined

LastModifiedDate

03/01/2026