BARBARA J SOWA FORMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041206180

License Status

NOT RENEWED

Business

First Name

BARBARA J SOWA

Last Name

FORMAN

Business Name

BARBARA J SOWA FORMAN

Original Issue Date

10/08/1981

Effective Date

03/26/2012

Expiration Date

05/31/2014

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

07/03/2014