License holder summary

KENISA JENAY FORMAN is a Nursing - Temporary Licensed Practical Nurse Permit licensed to practice in Arkansas. This nurses license is not current. The license was granted 08/27/2010 and expired on 10/04/2010.

Department of Health

Board of Nursing

KENISA JENAY FORMAN
Nursing - Temporary Licensed Practical Nurse Permit
License number
LTP-004646
Date granted
08/27/2010
Date expires
10/04/2010
Class
Nursing - Temporary Licensed Practical Nurse Permit
Status
Voided
arkansasnursing.org
ID 33417163
LAST UPDATED 2026-05-17 09:44:50 UTC

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