EMILY M FORNOFF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025571

License Status

INACTIVE

Business

First Name

EMILY M

Last Name

FORNOFF

Business Name

EMILY M FORNOFF

Original Issue Date

10/28/1969

Expiration Date

01/31/1995

City

NEW PORT RICHEY

State

Zip

34653

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/21/2005