THERESE M ORTMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128131

License Status

INACTIVE

Business

First Name

THERESE M

Last Name

ORTMAN

Business Name

THERESE M ORTMAN

Original Issue Date

10/04/1968

Effective Date

10/04/1968

Expiration Date

05/31/1992

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006