TESS DIANE FORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157952

License Status

INACTIVE

Business

First Name

TESS DIANE

Last Name

FORD

Business Name

TESS DIANE FORD

Original Issue Date

12/06/1974

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

DE SOTO

State

Zip

62924

County

JACKSON

Ever Disciplined

LastModifiedDate

03/08/2020