JILL R FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041190185

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

FORD

Business Name

JILL R FORD

Original Issue Date

10/17/1979

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1987002311

Action

Probation

Discipline Start Date

05/05/1988

Discipline End Date

03/09/1993