License Directory

Leslie Jay Forth

Expired

Illinois license 129009318

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
129009318
Status
Expired (Not Renewed)
First issued
August 4, 1987
Expired
May 31, 1987
License holder
Leslie Jay Forth
Entity type
Individual

Classifications

More from the license record

Current term began
08/04/1987

Other Illinois licenses under this name

  • IL
    Leslie Jay Forth
    License 043124300
    Licensed Practical Nurse (Nursing Board)
    Inactive
    Cisne, IL
    Expired Jan 31, 2021

Contact

Cisne, IL 62823
Wayne County