THERESA F. PICKFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091286

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

PICKFORD

Business Name

THERESA F. PICKFORD

Original Issue Date

04/12/2005

Effective Date

12/31/2008

Expiration Date

01/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/10/2011