SARA L FORDHAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019936

License Status

INACTIVE

Business

First Name

SARA

Middle

Last Name

FORDHAM

Business Name

SARA L FORDHAM

Original Issue Date

08/26/2019

Effective Date

06/12/2022

Expiration Date

05/31/2024

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

03/31/2023