Mollie Jean Forman
ExpiredCalifornia license 95352379
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95352379
- Status
- Expired (Delinquent)
- First issued
- September 15, 2023
- Expired
- August 31, 2025
- License holder
- Mollie Jean Forman
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
61 Washington Ave
Morristown, NJ 07960-5622
Morristown, NJ 07960-5622
Morris County