ROXANNE D FORNANDER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041257137

License Status

NOT RENEWED

Business

First Name

ROXANNE D

Last Name

FORNANDER

Business Name

ROXANNE D FORNANDER

Original Issue Date

04/13/1990

Effective Date

09/28/2016

Expiration Date

05/31/2018

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/13/2019