SUSAN A FORD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002922

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

FORD

Business Name

SUSAN A FORD

Original Issue Date

07/12/2001

Effective Date

05/01/2014

Expiration Date

05/31/2016

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

07/11/2016