MYLES JORDAN WILLINGHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041403616

License Status

INACTIVE

Business

First Name

MYLES

Middle

JORDAN

Last Name

WILLINGHAM

Business Name

MYLES JORDAN WILLINGHAM

Original Issue Date

07/26/2012

Effective Date

06/07/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60615

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

06/27/2024