ROSALIE D FORMALEJO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041294493

License Status

NOT RENEWED

Business

First Name

ROSALIE D

Last Name

FORMALEJO

Business Name

ROSALIE D FORMALEJO

Original Issue Date

12/28/1995

Effective Date

12/28/1995

Expiration Date

05/31/1998

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006