ANTIONETTE FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042429

License Status

NOT RENEWED

Business

First Name

ANTIONETTE

Last Name

FORD

Business Name

ANTIONETTE FORD

Original Issue Date

09/12/1977

City

PEORIA

State

Zip

61601

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005