SARAH B FORD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

SARAH

Middle

Last Name

FORD

Business Name

SARAH B FORD

Original Issue Date

06/24/2014

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026