License holder summary

Diane Marie Ford is a Nursing Board - Csr Prescriptive Authority licensed to practice in Indiana. The address on file for Diane Marie Ford is South Bend VA Clinic/Ambulatory Care Solutions, 5735 S Ironwood Rd, South Bend IN 46614. This nurse license is not current. The license was granted 06/13/2007 and expired on 10/31/2011.

Indiana

State Board of Nursing

Diane Marie Ford
Nursing Board - Csr Prescriptive Authority
License number
71002411B
Date granted
06/13/2007
Date expires
10/31/2011
Class
Nursing Board - Csr Prescriptive Authority
Status
Expired
Address
South Bend VA Clinic/Ambulatory Care Solutions, 5735 S Ironwood Rd, South Bend IN 46614
nursingindiana.org
ID 6441307
LAST UPDATED 2024-03-08 18:18:22 UTC

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