JAMES D HERZOG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041488045

License Status

INACTIVE

Business

First Name

JAMES

Middle

Last Name

HERZOG

Business Name

JAMES D HERZOG

Original Issue Date

11/14/2019

Effective Date

05/18/2020

Expiration Date

05/31/2022

City

PORTLAND

State

Zip

97232

Ever Disciplined

LastModifiedDate

05/18/2020