CARLA ANNE FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137252

License Status

NOT RENEWED

Business

First Name

CARLA ANNE

Last Name

FORD

Business Name

CARLA ANNE FORD

Original Issue Date

10/06/1970

Effective Date

04/15/2014

Expiration Date

05/31/2016

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016