LISA D FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041257810

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

FORD

Business Name

LISA D FORD

Original Issue Date

06/15/1990

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63139

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021