BEVERLY FORNERIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131949

License Status

NOT RENEWED

Business

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

City

REDDICK

State

Zip

60961

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/09/2006