Lyn B Formella
InactiveIllinois license 041215927
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041215927
- Status
- Inactive
- First issued
- May 9, 1983
- Expired
- May 31, 2014
- License holder
- Lyn B Formella
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 04/12/2012
Contact
Orland Park, IL 60462
Cook County