CORLISS A FORD - Registered Nurse License in Illinois | # 041148215

CORLISS A FORD

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148215

License Status

INACTIVE

Business

N

First Name

CORLISS A

Last Name

FORD

Business Name

CORLISS A FORD

Original Issue Date

04/16/1973

Effective Date

04/16/1973

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006