AGNES P ORTITY HAYMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189194

License Status

INACTIVE

Business

First Name

AGNES P ORTITY

Last Name

HAYMAN

Business Name

AGNES P ORTITY HAYMAN

Original Issue Date

09/10/1979

Effective Date

09/10/1979

Expiration Date

05/31/2002

City

LAGRANGE PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006