MARY L FORNEK - Registered Nurse License in Pennsylvania | # 041218740

MARY L FORNEK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041218740

License Status

NOT RENEWED

Business

N

First Name

MARY L

Last Name

FORNEK

Business Name

MARY L FORNEK

Original Issue Date

11/08/1983

Effective Date

05/17/2018

Expiration Date

09/30/2020

State

PA

Ever Disciplined

N

LastModifiedDate

01/14/2021