RUSSELL W FORD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101578

License Status

ACTIVE

Business

First Name

RUSSELL

Middle

Last Name

FORD

Business Name

RUSSELL W FORD

Original Issue Date

05/09/2006

Effective Date

05/21/2025

Expiration Date

01/31/2027

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/21/2025