DESIREE M FORDE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330352

License Status

NOT RENEWED

Business

First Name

DESIREE

Middle

Last Name

FORDE

Business Name

DESIREE M FORDE

Original Issue Date

06/12/2002

Effective Date

06/12/2002

Expiration Date

05/31/2004

City

SCOTTDALE

State

Zip

30079

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/29/2020