CONNIE LAREE FORTNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035906

License Status

INACTIVE

Business

First Name

CONNIE

Middle

LAREE

Last Name

FORTNER

Business Name

CONNIE LAREE FORTNER

Original Issue Date

01/30/1975

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

TYLER

State

Zip

75704

Ever Disciplined

LastModifiedDate

11/03/2010