PORTIA F CIVIS - Registered Nurse License in Illinois | # 041228903

PORTIA F CIVIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041228903

License Status

NOT RENEWED

Business

N

First Name

PORTIA F

Last Name

CIVIS

Business Name

PORTIA F CIVIS

Original Issue Date

05/09/1985

Effective Date

05/09/1985

Expiration Date

05/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006