ANNIE D FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041220311

License Status

NOT RENEWED

Business

First Name

ANNIE

Middle

Last Name

FORD

Business Name

ANNIE D FORD

Original Issue Date

11/08/1983

Effective Date

05/22/2014

Expiration Date

05/31/2016

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016