DALE L FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041151481

License Status

NOT RENEWED

Business

First Name

DALE L

Last Name

FORD

Business Name

DALE L FORD

Original Issue Date

09/24/1973

Effective Date

03/30/2020

Expiration Date

08/31/2022

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022