MARY PORTILLO GRAND Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041170963

License Status

INACTIVE

Business

First Name

MARY PORTILLO

Last Name

GRAND

Business Name

MARY PORTILLO GRAND

Original Issue Date

11/01/1976

Effective Date

05/05/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2016