AMY FORMELLA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041390382

License Status

ACTIVE

Business

First Name

AMY

Last Name

FORMELLA

Business Name

AMY FORMELLA

Original Issue Date

02/15/2011

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/17/2026