LYN B FORMELLA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041215927

License Status

INACTIVE

Business

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

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014