DIXIE FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043000602

License Status

NOT RENEWED

Business

First Name

DIXIE

Last Name

FORD

Business Name

DIXIE FORD

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005