PATTY R FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041084997

License Status

NOT RENEWED

Business

First Name

PATTY R

Last Name

FORD

Business Name

PATTY R FORD

Original Issue Date

11/07/1956

Effective Date

05/19/2016

Expiration Date

05/31/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/19/2018