TIMOTHY L FORD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015583

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

FORD

Business Name

TIMOTHY L FORD

Original Issue Date

02/07/2017

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

JACKSON

State

Zip

63755

Ever Disciplined

LastModifiedDate

03/02/2026