JAMES DAVID FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041416503

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

DAVID

Last Name

FORD

Business Name

JAMES DAVID FORD

Original Issue Date

11/21/2013

Effective Date

09/10/2020

Expiration Date

08/31/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2022