JAMIE S FORNOFF Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303972

License Status

ACTIVE

Business

First Name

JAMIE

Middle

Last Name

FORNOFF

Business Name

JAMIE S FORNOFF

Original Issue Date

08/01/1997

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PEKIN

State

Zip

61554

Ever Disciplined

LastModifiedDate

03/03/2026