LILLIE R STANFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041240259

License Status

NOT RENEWED

Business

First Name

LILLIE R

Last Name

STANFORD

Business Name

LILLIE R STANFORD

Original Issue Date

11/10/1986

Effective Date

11/10/1986

Expiration Date

05/31/1996

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006