LETA A FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043006296

License Status

NOT RENEWED

Business

First Name

LETA A

Last Name

FORD

Business Name

LETA A FORD

Original Issue Date

09/02/1954

City

GREENFIELD

State

Zip

62044

County

GREENE

Ever Disciplined

LastModifiedDate

10/21/2005