DONNA RAE STORTZUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041167075

License Status

NOT RENEWED

Business

First Name

DONNA RAE

Last Name

STORTZUM

Business Name

DONNA RAE STORTZUM

Original Issue Date

05/11/1976

Effective Date

04/11/2016

Expiration Date

05/31/2018

City

ROSEVILLE

State

Zip

61473

County

WARREN

Ever Disciplined

LastModifiedDate

07/19/2018