Karen Shive Fordyce
InactiveIllinois license 041193821
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041193821
- Status
- Inactive
- First issued
- December 10, 1979
- Expired
- May 1, 1982
- License holder
- Karen Shive Fordyce
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 12/10/1979
Contact
Portland, OR 97266
Oregon County