CRYSTAL L VANDERPORT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040472

License Status

NOT RENEWED

Business

First Name

CRYSTAL L

Last Name

VANDERPORT

Business Name

CRYSTAL L VANDERPORT

Original Issue Date

02/02/1977

Expiration Date

01/31/1993

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/21/2005