MOLLY ELIZABETH FORD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014438

License Status

INACTIVE

Business

First Name

MOLLY

Middle

ELIZABETH

Last Name

FORD

Business Name

MOLLY ELIZABETH FORD

Original Issue Date

07/07/2016

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/27/2025