DARCY DIETEL FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169014

License Status

NOT RENEWED

Business

First Name

DARCY DIETEL

Last Name

FORD

Business Name

DARCY DIETEL FORD

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/2008

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2008