PORTIA F CIVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041228903

License Status

NOT RENEWED

Business

First Name

PORTIA F

Last Name

CIVIS

Business Name

PORTIA F CIVIS

Original Issue Date

05/09/1985

Effective Date

05/09/1985

Expiration Date

05/31/1988

City

ROMEOVILLE

State

Zip

60441

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006