LAURA C FORMELLA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383211

License Status

ACTIVE

Business

First Name

LAURA

Middle

Last Name

FORMELLA

Business Name

LAURA C FORMELLA

Original Issue Date

04/01/2010

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

WATERFORD

State

Zip

53185

Ever Disciplined

LastModifiedDate

03/01/2026