ANGELIA ROSE FORMENTINI Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041421695

License Status

ACTIVE

Business

First Name

ANGELIA

Middle

ROSE

Last Name

FORMENTINI

Business Name

ANGELIA ROSE FORMENTINI

Original Issue Date

07/18/2014

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

GRIFFITH

State

Zip

46319

County

LAKE

Ever Disciplined

LastModifiedDate

02/28/2026