KETRA K FORDHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269778

License Status

INACTIVE

Business

First Name

KETRA K

Last Name

FORDHAM

Business Name

KETRA K FORDHAM

Original Issue Date

09/28/1992

Effective Date

04/04/2014

Expiration Date

05/31/2016

City

MANLIUS

State

Zip

61338

County

BUREAU

Ever Disciplined

LastModifiedDate

03/16/2016