MARY PATRICIA FORNAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036827

License Status

NOT RENEWED

Business

First Name

MARY PATRICIA

Last Name

FORNAL

Business Name

MARY PATRICIA FORNAL

Original Issue Date

01/30/1975

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005