MYRA KAY PORTHOUSE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041322037

License Status

INACTIVE

Business

First Name

MYRA

Middle

KAY

Last Name

PORTHOUSE

Business Name

MYRA KAY PORTHOUSE

Original Issue Date

09/26/2000

Effective Date

03/21/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2018