EVELYN A FORNEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041238640

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

Last Name

FORNEK

Business Name

EVELYN A FORNEK

Original Issue Date

09/22/1986

Effective Date

04/06/2010

Expiration Date

05/31/2012

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/10/2012