JODY LYNN FORMEA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117341

License Status

ACTIVE

Business

First Name

JODY

Middle

LYNN

Last Name

FORMEA

Business Name

JODY LYNN FORMEA

Original Issue Date

08/15/2013

Effective Date

01/11/2025

Expiration Date

01/31/2027

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/11/2025