TINA M ORTIZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066118

License Status

NOT RENEWED

Business

First Name

TINA M

Last Name

ORTIZ

Business Name

TINA M ORTIZ

Original Issue Date

09/10/1988

Expiration Date

01/31/1991

City

HARMON

State

Zip

61042

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

1992005935

Action

Refuse To Renew

Discipline Start Date

10/19/1992

Discipline Reason

Defaulted on Illinois Student Assistance loan.