License holder summary

Traci J. Formella is a Temporary Rn Permit licensed to practice in Indiana. The address on file for Traci J. Formella is Merrillville IN 46410. This nurse license is not current. The license was granted 08/25/2008 and expired on 11/25/2008.

Indiana

State Board of Nursing

Traci J. Formella
Temporary Rn Permit
License number
99033935A
Date granted
08/25/2008
Date expires
11/25/2008
Class
Temporary Rn Permit
Status
Superceded
Address
Merrillville IN 46410
nursingindiana.org
ID 8270265
LAST UPDATED 2024-05-12 13:34:39 UTC

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