SUSAN A FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041214178

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

FORD

Business Name

SUSAN A FORD

Original Issue Date

11/04/1982

Effective Date

04/15/2016

Expiration Date

05/31/2018

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

07/19/2018