License Directory

Leslie Jay Forth

Inactive

Illinois 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
    Leslie Jay Forth
    License 129009318
    Permanent Employee Registration (Detective Board)
    Expired
    Cisne, IL
    Expired May 31, 1987

Contact

Cisne, IL 62823
Wayne County