MICHAEL R MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041260954

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

MONTGOMERY

Business Name

MICHAEL R MONTGOMERY

Original Issue Date

12/05/1990

Effective Date

04/20/2010

Expiration Date

05/31/2012

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012