Department of Financial and Professional Regulation
Board of Nursing
ELIZABETH M FORMAN
Licensed Practical Nurse
License number
043037817
Date granted
10/17/1975
Date expires
01/31/1997
Class
Licensed Practical Nurse
Status
Inactive
Address
RUSHVILLE, IL 62681
illinoisnursing.org
ID 24706251
LAST UPDATED 2024-04-05 03:39:20 UTC
LAST UPDATED 2024-04-05 03:39:20 UTC
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