MICHAEL DEAN PORTS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041326608

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DEAN

Last Name

PORTS

Business Name

MICHAEL DEAN PORTS

Original Issue Date

09/13/2001

Effective Date

09/13/2001

Expiration Date

05/31/2006

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006