CHARLOTTE ANN FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172328

License Status

NOT RENEWED

Business

First Name

CHARLOTTE ANN

Last Name

FORD

Business Name

CHARLOTTE ANN FORD

Original Issue Date

12/02/1976

Effective Date

12/02/1976

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/27/2006