WANDA FORAKER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011832

License Status

INACTIVE

Business

First Name

WANDA

Last Name

FORAKER

Business Name

WANDA FORAKER

Original Issue Date

01/22/1964

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005