JEANNE ODETTE FOMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041452735

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

ODETTE

Last Name

FOMA

Business Name

JEANNE ODETTE FOMA

Original Issue Date

05/05/2017

Effective Date

04/30/2022

Expiration Date

06/30/2024

City

QUINCY

State

Zip

62301

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

02/05/2025