JAN CAROL FORSBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131691

License Status

NOT RENEWED

Business

First Name

JAN CAROL

Last Name

FORSBERG

Business Name

JAN CAROL FORSBERG

Original Issue Date

08/26/1969

Effective Date

09/29/2020

Expiration Date

08/31/2022

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022