LISA M FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043106125

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

FORD

Business Name

LISA M FORD

Original Issue Date

08/05/2008

Effective Date

12/29/2008

Expiration Date

01/31/2011

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

03/10/2011