LILLIE R STANFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040946

License Status

NOT RENEWED

Business

First Name

LILLIE R

Last Name

STANFORD

Business Name

LILLIE R STANFORD

Original Issue Date

02/02/1977

Expiration Date

01/31/1987

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005