PATRICIA FORMICOLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041215463

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

FORMICOLA

Business Name

PATRICIA FORMICOLA

Original Issue Date

03/09/1983

Effective Date

03/09/1983

Expiration Date

05/31/1984

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006