Mary Elizabeth Fortman

Licensed Practical Nurse

Indiana  27048210A   Expired

This Indiana license was held by Mary Elizabeth Fortman. The license is no longer active. It was granted on 07/19/2000 and expired on 10/31/2008

LICENSE DETAILS

  • License Number: 27048210A
  • Category: Licensed Practical Nurse
  • Status: Expired
  • Date Granted: 07/19/2000 (almost 25 years ago)
  • Expiry Date: 10/31/2008 (over 16 years ago)

LOCATIONS

A Address

new haven IN 46774