KIM REBECCA FORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049850

License Status

INACTIVE

Business

First Name

KIM REBECCA

Last Name

FORD

Business Name

KIM REBECCA FORD

Original Issue Date

07/02/1980

Expiration Date

01/31/1989

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005