CHRISTOPHER C MORTENSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276896

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER C

Last Name

MORTENSEN

Business Name

CHRISTOPHER C MORTENSEN

Original Issue Date

10/13/1993

Effective Date

03/26/2012

Expiration Date

05/31/2014

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

07/03/2014

Case Number

2013000997

Action

Refuse To Renew

Discipline Start Date

04/04/2014

Discipline Reason

for failure to maintain patient records as required, falsification of patient records and failure to report an adverse action to the Department.