STEPHEN P DEPORTER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

STEPHEN P

Last Name

DEPORTER

Business Name

STEPHEN P DEPORTER

Original Issue Date

07/26/2001

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/10/2012