CAROLYN R FORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043060756

License Status

INACTIVE

Business

First Name

CAROLYN R

Last Name

FORD

Business Name

CAROLYN R FORD

Original Issue Date

02/07/1985

Effective Date

01/10/2011

Expiration Date

01/31/2013

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

11/08/2012