KAREN L FORNOFF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041384488

License Status

INACTIVE

Business

First Name

KAREN

Middle

Last Name

FORNOFF

Business Name

KAREN L FORNOFF

Original Issue Date

06/22/2010

Effective Date

03/26/2012

Expiration Date

05/31/2014

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

03/06/2014