CRYSTAL R FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057169

License Status

NOT RENEWED

Business

First Name

CRYSTAL R

Last Name

FORD

Business Name

CRYSTAL R FORD

Original Issue Date

05/09/1983

Effective Date

01/19/2011

Expiration Date

01/31/2013

City

PEORIA

State

Zip

61614

Ever Disciplined

LastModifiedDate

03/20/2013