OLLIE B PORTWOOD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014991

License Status

NOT RENEWED

Business

First Name

OLLIE B

Last Name

PORTWOOD

Business Name

OLLIE B PORTWOOD

Original Issue Date

05/04/1966

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005