KIRK A SANFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041391107

License Status

NOT RENEWED

Business

First Name

KIRK

Middle

Last Name

SANFORD

Business Name

KIRK A SANFORD

Original Issue Date

03/04/2011

Effective Date

04/09/2012

Expiration Date

05/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/03/2014