YAMYLENE ANNE A HARTSOUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407079

License Status

NOT RENEWED

Business

First Name

YAMYLENE ANNE

Middle

Last Name

HARTSOUGH

Business Name

YAMYLENE ANNE A HARTSOUGH

Original Issue Date

11/08/2012

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021