BARBARA J SOWA FORMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045839

License Status

INACTIVE

Business

First Name

BARBARA J SOWA

Last Name

FORMAN

Business Name

BARBARA J SOWA FORMAN

Original Issue Date

01/26/1979

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005