DIANA ROSE POORTENGA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041427140

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

ROSE

Last Name

POORTENGA

Business Name

DIANA ROSE POORTENGA

Original Issue Date

01/22/2015

Effective Date

04/18/2018

Expiration Date

09/30/2020

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021