ALFONZO STANFORD - Registered Nurse License in Indiana | # 043063366

ALFONZO STANFORD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063366

License Status

NOT RENEWED

Business

N

First Name

ALFONZO

Last Name

STANFORD

Business Name

ALFONZO STANFORD

Original Issue Date

07/01/1986

Expiration Date

01/31/1997

State

IN

Ever Disciplined

N

LastModifiedDate

10/21/2005