BEVERLY FORNERIS - Registered Nurse License in Illinois | # 041131949

BEVERLY FORNERIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131949

License Status

NOT RENEWED

Business

N

First Name

BEVERLY

Last Name

FORNERIS

Business Name

BEVERLY FORNERIS

Original Issue Date

08/26/1969

Effective Date

08/26/1969

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006