Susan Debra Fortin
ExpiredIllinois license 041196245
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041196245
- Status
- Expired (Not Renewed)
- First issued
- August 6, 1980
- Expired
- May 1, 1982
- License holder
- Susan Debra Fortin
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 08/06/1980
Contact
Madison Heights, MI 48071
Michigan County