LEA C FORMELOZA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041372675

License Status

NOT RENEWED

Business

First Name

LEA

Middle

Last Name

FORMELOZA

Business Name

LEA C FORMELOZA

Original Issue Date

10/30/2008

Effective Date

09/23/2020

Expiration Date

08/31/2022

City

NYC

State

Zip

11364

Ever Disciplined

LastModifiedDate

10/14/2022