Dana Forman

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

041595290

Status

Active

First issued

September 30, 2025

Expires

May 31, 2028

License holder

Dana Forman

Entity type

Individual

Classifications

• Registered Professional Nurse (Nursing Board) Nursing

More from the license record

Current term began

03/11/2026

Other Illinois licenses under this name

• IL
  Dana Forman

  License 209034261

  Advanced Practice Registered Nurse
  Inactive

  Chicago, IL

  Expired Jun 30, 2026
• IL
  Dana Forman

  License 277004991

  Full Practice Authority Aprn (Adv Practice Nurse)
  Active

  Commerce Township, MI

  Expires May 31, 2028
• IL
  Dana Forman

  License 37*****12

  Full Practice Authority Aprn Control Sub (Adv Practice Nurse)
  Active

  Chicago, IL

  Expires May 31, 2028

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