NICOLE C FORD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041493637

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

FORD

Business Name

NICOLE C FORD

BusinessDBA

BURCHAM

Original Issue Date

03/25/2020

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

02/28/2026