Jan Kevin B Formales

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

043122934

Status

Expired (Not Renewed)

First issued

August 24, 2016

Expired

January 31, 2021

License holder

Jan Kevin B Formales

Entity type

Individual

Classifications

• Licensed Practical Nurse (Nursing Board) Nursing

More from the license record

Current term began

02/04/2019

Other Illinois licenses under this name

• IL
  Jan Kevin B Formales

  License 041494731

  Registered Professional Nurse (Nursing Board)
  Active

  Pingree Grove, IL

  Expires May 31, 2028

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