DALE R POORTENGA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041419783

License Status

NOT RENEWED

Business

First Name

DALE

Middle

Last Name

POORTENGA

Business Name

DALE R POORTENGA

Original Issue Date

04/25/2014

Effective Date

03/17/2020

Expiration Date

08/31/2022

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022