MARY D FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041063345

License Status

NOT RENEWED

Business

First Name

MARY D

Last Name

FORD

Business Name

MARY D FORD

Original Issue Date

01/19/1949

Effective Date

01/19/1949

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006