FERN C FORNEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020126

License Status

NOT RENEWED

Business

First Name

FERN C

Last Name

FORNEY

Business Name

FERN C FORNEY

Original Issue Date

06/28/1967

City

CHAMPAIGN

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005