TRACI J FORMELLA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041352406

License Status

ACTIVE

Business

First Name

TRACI

Middle

Last Name

FORMELLA

Business Name

TRACI J FORMELLA

Original Issue Date

05/03/2006

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

02/28/2026