LE PORTER IVORY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020778

License Status

NOT RENEWED

Business

First Name

LE PORTER

Last Name

IVORY

Business Name

LE PORTER IVORY

Original Issue Date

10/02/1967

City

EAST ST LOUIS

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005