JAN KEVIN B FORMALES Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041494731

License Status

ACTIVE

Business

First Name

JAN KEVIN

Middle

Last Name

FORMALES

Business Name

JAN KEVIN B FORMALES

Original Issue Date

05/06/2020

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

02/28/2026