PATRICIA J FORNOFF Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

FORNOFF

Business Name

PATRICIA J FORNOFF

Original Issue Date

07/19/2001

Effective Date

06/09/2022

Expiration Date

06/30/2024

City

BARTLETT

State

Zip

60103

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025