LYN B FORMELLA - Registered Nurse License in Illinois | # 041215927

LYN B FORMELLA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041215927

License Status

INACTIVE

Business

N

First Name

LYN B

Last Name

FORMELLA

Business Name

LYN B FORMELLA

Original Issue Date

05/09/1983

Effective Date

04/12/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

03/06/2014