MELLODY ANN STANDIFORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100812

License Status

INACTIVE

Business

First Name

MELLODY

Middle

ANN

Last Name

STANDIFORD

Business Name

MELLODY ANN STANDIFORD

Original Issue Date

11/10/2005

Effective Date

01/23/2019

Expiration Date

01/31/2021

City

WINTHROP HARBOR

State

Zip

60096

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/08/2020