DIANE LORRAINE FORNOFF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199596

License Status

NOT RENEWED

Business

First Name

DIANE LORRAINE

Last Name

FORNOFF

Business Name

DIANE LORRAINE FORNOFF

Original Issue Date

11/17/1980

Effective Date

05/21/2022

Expiration Date

06/30/2024

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/05/2025