MARY C FORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169113

License Status

INACTIVE

Business

First Name

MARY C

Last Name

FORD

Business Name

MARY C FORD

Original Issue Date

11/01/1976

Effective Date

03/29/2010

Expiration Date

05/31/2012

City

TAYLOR

State

Zip

56459

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/08/2012