ANNASTACIA TAMAR PORTER - Registered Nurse License in Indiana | # 041554345

ANNASTACIA TAMAR PORTER

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041554345

License Status

ACTIVE

Business

N

First Name

ANNASTACIA

Middle

TAMAR

Last Name

PORTER

Business Name

ANNASTACIA TAMAR PORTER

Original Issue Date

10/24/2023

Effective Date

04/07/2026

Expiration Date

05/31/2028

State

IN

Ever Disciplined

N

LastModifiedDate

04/07/2026