Virginia
Department of Professional and Occupational Regulation
Kenneth C Forman
Health Professions - Licensed Practical Nurse
License number
0002092256
Date granted
04/10/2015
Date expires
04/30/2017
Class
Health Professions - Licensed Practical Nurse
Status
Active
Address
Redding, CA 96002
virginialicensing.org
ID 33748999
LAST UPDATED 2026-05-27 18:33:53 UTC
LAST UPDATED 2026-05-27 18:33:53 UTC
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