JOLANTA E FORMICKI Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041503736

License Status

ACTIVE

Business

First Name

JOLANTA

Middle

Last Name

FORMICKI

Business Name

JOLANTA E FORMICKI

Original Issue Date

12/21/2020

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

LEMONT

State

Zip

60439

Ever Disciplined

LastModifiedDate

03/05/2026