ALEX M ORTIZ - Registered Nurse License in Indiana | # 043068771

ALEX M ORTIZ

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068771

License Status

NOT RENEWED

Business

N

First Name

ALEX M

Last Name

ORTIZ

Business Name

ALEX M ORTIZ

Original Issue Date

08/04/1990

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/15/2005