ALFONZO STANFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063366

License Status

NOT RENEWED

Business

First Name

ALFONZO

Last Name

STANFORD

Business Name

ALFONZO STANFORD

Original Issue Date

07/01/1986

Expiration Date

01/31/1997

City

SOUTH BEND

State

Zip

46601

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005