PHYLLIS J MARTIN - Registered Nurse License in Indiana | # 041168566

PHYLLIS J MARTIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168566

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS J

Last Name

MARTIN

Business Name

PHYLLIS J MARTIN

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

07/11/2008