JUDITH LYNN FORMANEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131537

License Status

NOT RENEWED

Business

First Name

JUDITH LYNN

Last Name

FORMANEK

Business Name

JUDITH LYNN FORMANEK

Original Issue Date

08/26/1969

Effective Date

06/12/2020

Expiration Date

08/31/2022

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022