NICOLE LYNN FORD - Respiratory Care Practitioner License in Illinois | # 194005061

NICOLE LYNN FORD

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005061

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

LYNN

Last Name

FORD

Business Name

NICOLE LYNN FORD

Original Issue Date

04/15/2002

Effective Date

10/21/2013

Expiration Date

10/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

12/09/2015