KALA I FORD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123401

License Status

ACTIVE

Business

First Name

KALA

Middle

Last Name

FORD

Business Name

KALA I FORD

Original Issue Date

11/16/2016

Effective Date

12/27/2024

Expiration Date

01/31/2027

City

SAINT AUGUSTINE

State

Zip

61474

County

KNOX

Ever Disciplined

LastModifiedDate

12/27/2024