CORLISS A FORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148215

License Status

INACTIVE

Business

First Name

CORLISS A

Last Name

FORD

Business Name

CORLISS A FORD

Original Issue Date

04/16/1973

Effective Date

04/16/1973

City

ST ANNE

State

Zip

60964

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/27/2006