MARTHA P FORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041016791

License Status

INACTIVE

Business

First Name

MARTHA P

Last Name

FORD

Business Name

MARTHA P FORD

Original Issue Date

07/14/1928

Effective Date

07/14/1928

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/27/2006