Courtney N Forman

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

30*****64

Status

Inactive

First issued

September 23, 2016

Expired

June 30, 2026

License holder

Courtney N Forman

Entity type

Individual

Classifications

• Adv Practice Nurse Control Sub Nursing

More from the license record

Delegated controlled substance schedules

II III IV V

Current term began

05/09/2024

Other Illinois licenses under this name

• IL
  Courtney N Forman

  License 041394466

  Registered Professional Nurse (Nursing Board)
  Active

  Rockford, IL

  Expires May 31, 2028
• IL
  Courtney N Forman

  License 209014910

  Advanced Practice Registered Nurse
  Inactive

  Rockford, IL

  Expired Jun 30, 2026
• IL
  Courtney N Forman

  License 277004073

  Full Practice Authority Aprn (Adv Practice Nurse)
  Active

  Rockford, IL

  Expires May 31, 2028
• IL
  Courtney N Forman

  License 37*****01

  Full Practice Authority Aprn Control Sub (Adv Practice Nurse)
  Active

  Rockford, IL

  Expires May 31, 2028

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