MADONNA M ORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300378

License Status

NOT RENEWED

Business

First Name

MADONNA M

Last Name

ORTH

Business Name

MADONNA M ORTH

Original Issue Date

09/30/1996

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

07/03/2014