KRISTEL B FORMALES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043118026

License Status

NOT RENEWED

Business

First Name

KRISTEL

Middle

Last Name

FORMALES

Business Name

KRISTEL B FORMALES

Original Issue Date

11/08/2013

Effective Date

02/04/2019

Expiration Date

01/31/2021

City

ELGIN

State

Zip

60123

Ever Disciplined

LastModifiedDate

03/11/2021