ROSALIE D FORMALEJO - Registered Nurse License in Michigan | # 041294493

ROSALIE D FORMALEJO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041294493

License Status

NOT RENEWED

Business

N

First Name

ROSALIE D

Last Name

FORMALEJO

Business Name

ROSALIE D FORMALEJO

Original Issue Date

12/28/1995

Effective Date

12/28/1995

Expiration Date

05/31/1998

State

MI

Ever Disciplined

N

LastModifiedDate

09/27/2006