LARRY DEAN SANFORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054481

License Status

INACTIVE

Business

First Name

LARRY DEAN

Last Name

SANFORD

Business Name

LARRY DEAN SANFORD

Original Issue Date

07/27/1982

Effective Date

02/01/2011

Expiration Date

01/31/2013

City

FOND DU LAC

State

Zip

54935

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2012