SANDRA I MARTINEZ RIVERA MD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007254

License Status

NOT RENEWED

Business

Title

First Name

SANDRA

Middle

Last Name

MARTINEZ RIVERA

Business Name

SANDRA I MARTINEZ RIVERA MD

Original Issue Date

09/08/2008

Effective Date

09/08/2008

Expiration Date

05/31/2010

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010