ANNASTACIA TAMAR PORTER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041554345

License Status

ACTIVE

Business

First Name

ANNASTACIA

Middle

TAMAR

Last Name

PORTER

Business Name

ANNASTACIA TAMAR PORTER

Original Issue Date

10/24/2023

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

MERRILLVILLE

State

Zip

46410

County

LAKE

Ever Disciplined

LastModifiedDate

02/28/2026