DIANE J FORNOFF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119133

License Status

NOT RENEWED

Business

First Name

DIANE J

Last Name

FORNOFF

Business Name

DIANE J FORNOFF

Original Issue Date

10/06/1966

Effective Date

10/06/1966

Expiration Date

05/31/1986

City

WEST PALM BEACH

State

Zip

33406

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006