Lateisha N Fort
InactiveIllinois license 30*****53
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 30*****53
- Status
- Inactive
- First issued
- July 31, 2018
- Expired
- May 31, 2024
- License holder
- Lateisha N Fort
- Entity type
- Individual
Classifications
- Adv Practice Nurse Control Sub Nursing
More from the license record
- Current term began
- 05/11/2022
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Contact
Downers Grove, IL 60515
Cook County