MICHAEL DEAN PORTS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003822

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DEAN

Last Name

PORTS

Business Name

MICHAEL DEAN PORTS

Original Issue Date

09/13/2001

Effective Date

09/13/2001

Expiration Date

05/31/2006

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/09/2008