Lavern Fortik
Emergency Medical Service in Nebraska

License number
Nebraska 211
Issued Date
Dec 31, 1995
Effective Date
Mar 8, 1999
Category
Emergency Medical Care
Type
EMT A/D
Address
Address
Nebraska
Education
EMT_A, May 1, 1975
AD School, Feb 1, 1994
LicenseFiles verified this license of Mar 27, 2017 at the Nebraska Department of Health and Human Services.

Personal information

See more information about Lavern Fortik at radaris.com
Name
Address
Phone
Lavern J Fortik, age 78
403 Cleveland St, Brainard, NE 68626
(402) 545-2871

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