SARA L FORDHAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

INACTIVE

Business

First Name

SARA

Middle

Last Name

FORDHAM

Business Name

SARA L FORDHAM

Original Issue Date

10/03/2019

Effective Date

06/12/2022

Expiration Date

05/31/2024

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

03/31/2023