BARBARA J FORMAS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203954

License Status

INACTIVE

Business

First Name

BARBARA J

Last Name

FORMAS

Business Name

BARBARA J FORMAS

Original Issue Date

10/08/1981

Effective Date

05/26/2010

Expiration Date

05/31/2012

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012