TAKALA FOMOND Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117753

License Status

ACTIVE

Business

First Name

TAKALA

Last Name

FOMOND

Business Name

TAKALA FOMOND

Original Issue Date

10/01/2013

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2024