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*****07

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

07/26/2001

Expiration Date

05/31/2004

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

10/09/2006