DEANN K MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

DEANN

Middle

Last Name

MARTIN

Business Name

DEANN K MARTIN

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

05/31/2006

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006