NICOLE C FORD - Registered Nurse License in Illinois | # 041493637

NICOLE C FORD

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041493637

License Status

ACTIVE

Business

N

First Name

NICOLE

Middle

C

Last Name

FORD

Business Name

NICOLE C FORD

BusinessDBA

BURCHAM

Original Issue Date

03/25/2020

Effective Date

04/06/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/06/2026