KEVIN SAMUEL MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012193

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

SAMUEL

Last Name

MARTIN

Business Name

KEVIN SAMUEL MARTIN

Original Issue Date

11/12/2014

Effective Date

05/05/2016

Expiration Date

05/31/2018

City

WASHINGTON DC

State

Zip

20005

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

07/19/2018