Professional Records
License Records
Betty V Forthman
Address:
1087 Main St, Bonifay, FL
210 W Kansas Ave, Bonifay, FL
Phone:
(850) 263-4764
License #:
17288 - Expired
Category:
Health Care
Issued Date:
Jun 18, 1996
Effective Date:
Sep 27, 2005
Expiration Date:
May 31, 2017
Type:
Certified Nursing Assistant