MARK A WOODFORK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079323

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

WOODFORK

Business Name

MARK A WOODFORK

Original Issue Date

06/12/1996

Effective Date

03/07/2017

Expiration Date

01/31/2019

City

YORKVILLE

State

Zip

60560

Ever Disciplined

LastModifiedDate

03/28/2019