CHERYL L FORMEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041224556

License Status

NOT RENEWED

Business

First Name

CHERYL L

Last Name

FORMEL

Business Name

CHERYL L FORMEL

Original Issue Date

10/02/1984

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

CARTERVILLE

State

Zip

62918

County

JACKSON

Ever Disciplined

LastModifiedDate

01/14/2021