Leslie Jay Forth
InactiveIllinois license 043124300
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 043124300
- Status
- Inactive
- First issued
- August 7, 2017
- Expired
- January 31, 2021
- License holder
- Leslie Jay Forth
- Entity type
- Individual
Classifications
- Licensed Practical Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 12/13/2018
Other Illinois licenses under this name
-
IL
ExpiredCisne, ILExpired May 31, 1987
Contact
Cisne, IL 62823
Wayne County