OLIVE FORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041038253

License Status

INACTIVE

Business

First Name

OLIVE

Last Name

FORD

Business Name

OLIVE FORD

Original Issue Date

01/09/1940

Effective Date

01/09/1940

Expiration Date

05/31/1988

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006