KATHLEEN H FORNERIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041118544

License Status

INACTIVE

Business

First Name

KATHLEEN H

Last Name

FORNERIS

Business Name

KATHLEEN H FORNERIS

Original Issue Date

09/14/1966

Effective Date

08/31/2020

Expiration Date

08/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/24/2022